Individual
ALLYSSA NICOLE MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7620
(989) 831-7578
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097334
MI
Other
Enumeration date
08/18/2014
Last updated
03/24/2017
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