Individual
MRS. CARRIE A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4654 ANGLER CIR, KINGSTON, OK 73439-1900
(405) 315-4510
Mailing address
4654 ANGLER CIR, KINGSTON, OK 73439-1900
(405) 315-4510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Enumeration date
05/16/2008
Last updated
03/09/2016
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