Individual
CAROL ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3108 W PINHOOK RD FL 2, LAFAYETTE, LA 70508-3442
(337) 269-8885
(337) 269-8887
Mailing address
810 N 29TH ST, MONROE, LA 71201-3704
(318) 323-1223
(318) 323-1224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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