Individual
MRS. LAURA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
110 YE OLDE KINGS HWY, NORTH MYRTLE BEACH, SC 29582-4384
(843) 663-0770
Mailing address
281 SUGAR MILL LOOP, MYRTLE BEACH, SC 29588-4631
(843) 446-9217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5961
SC
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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