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Maribeth Martin

Counselor, Mental Health in Dorchester, MA. Individual provider (NPI-1).

NPI number1801257555
StatusActive
Last updated in NPPESMar 9, 2016

Details

NPI
1801257555
Entity type
Individual (NPI-1)
Name
Maribeth Martin
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2016
Last updated
Mar 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101Y00000X Counselor––

Practice location

415 Neponset Ave Ste 6
Dorchester, MA 02122-3169

Phone 617-506-7890

Mailing address

11 Coach Ln
Barnstable, MA 02630-1504

Phone 774-487-8941

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