Mary Martin
NPI #1548552292 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1548552292
- Entity Type
- Organization
- Organization Name
- Mary Martin
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 12, 2011
- Last Updated
- Mar 28, 2013
Practice Location
- Address
- 400 3RD AVE
- Address 2
- SUITE 308
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5816
- Phone
- (570) 417-2830
Authorized Official
- Name
- MARY MARTIN
- Title
- LCSW
- Phone
- (570) 417-2830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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