Individual
MS. MEGAN MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
423 S WAKARA WAY, SUITE 200, SALT LAKE CITY, UT 84108-1242
(801) 931-6203
(801) 931-6201
Mailing address
423 S WAKARA WAY, SUITE 200, SALT LAKE CITY, UT 84108-1242
(801) 931-6203
(801) 931-6201
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
8045782-3601
UT
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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