Individual
LAURA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 NAGLEY ST, SPRINGFIELD, OH 45505-3937
(937) 505-4219
Mailing address
1421 NAGLEY ST, SPRINGFIELD, OH 45505-3937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201523-SP
OH
Other
Enumeration date
12/02/2020
Last updated
12/06/2020
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