Individual
MARTHA SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17121 US HIGHWAY 69 S, TYLER, TX 75703-8091
(903) 316-5711
Mailing address
3514 S KEATON AVE, TYLER, TX 75701-9031
(903) 253-7227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90140
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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