Most Relevant Information
Provider Data
| NPI Number: | 1003323411 |
| Provider Name: | MAURICE MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2018 |
| Last Updated: | 01/08/2018 |
Provider Practice Location
1127 CARNEGIE AVE
CLEVELAND
OH
441152805
Practice Location Phone/Fax
| Phone: | 2168614246 |
| Fax: |
Provider Mailing Location
1127 CARNEGIE AVE
CLEVELAND
OH
441152805
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |