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Individual
MISTY-LEE K MARTIN
Active
Individual
MISTY-LEE K MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014096
GA
Other
Enumeration date
09/14/2021
Last updated
09/06/2023
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