Individual
CLARISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 MITCHELL PARK DR, UNIT 14, PETOSKEY, MI 49770-8674
(231) 348-7777
Mailing address
94 W COOPER RD, SANDUSKY, MI 48471-9419
(810) 837-1237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001168
MI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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