Individual
ALYSSA S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SE CROSS ST, MOUNT STERLING, IL 62353-1561
(217) 773-3325
(217) 773-2425
Mailing address
700 SE CROSS ST, MOUNT STERLING, IL 62353-1561
(217) 773-3325
(217) 773-2425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.011987
IL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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