Individual
LAQUANA N MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
200 MCGEE RD, ANDERSON, SC 29625-2104
(864) 965-9450
Mailing address
102 PAUL REVERE TRL # B, ANDERSON, SC 29621-1157
(864) 356-7488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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