Individual
MS. CAROLYN DIANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
12351 W 96TH TER, STE.300, LENEXA, KS 66215-4409
(913) 894-0900
(913) 894-0908
Mailing address
6309 W 50TH ST, MISSION, KS 66202-1719
(816) 838-0700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
171
KS
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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