Individual
MIA NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 FOUR SEASONS BLVD, GREENSBORO, NC 27407-6025
(336) 294-7335
Mailing address
2805 DULAIRE RD, GREENSBORO, NC 27407-5943
(336) 549-3004
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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