# AUDREY L. MARTIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750973053
- **Authorized official:** AUDREY MARTIN (OWNER)
- **Authorized official phone:** (316) 644-2944

## Contact information

- **Practice address:** 303 N WEST ST STE 220, WICHITA, KS 67203-1269
- **Practice address phone:** (316) 302-4988
- **Mailing address:** 23527 SYCAMORE HEIGHTS RD, SILOAM SPRINGS, AR 72761-8215
- **Mailing address phone:** (316) 644-2944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2021
- **Last updated:** 09/16/2024