Individual
NIKI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N 23RD ST STE 6, PARAGOULD, AR 72450-3984
(870) 335-9483
(870) 335-9487
Mailing address
4508 STADIUM BLVD, JONESBORO, AR 72404-9675
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1577-M
AR
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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