Individual
AUDREY LEAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
303 N WEST ST STE 220, WICHITA, KS 67203-1269
(316) 302-4988
Mailing address
23527 SYCAMORE HEIGHTS RD, SILOAM SPRINGS, AR 72761-8215
(316) 644-2944
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M2407002
AR
Other
Enumeration date
03/05/2009
Last updated
09/16/2024
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