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1992157283
TINA MARTIN
METROPOLIS, IL
NPI
1992157283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.003185)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-07-11
Last Update Date
2016-08-16
Business Address
-- TINA MARTIN LCP
206 W 5TH ST
METROPOLIS, IL 62960-1810
Phone number: 618-524-9368
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Mailing Address
-- TINA MARTIN LCP
595 BARTER RD
HARRISBURG, IL 62946-4102
Phone number:
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