Individual
GABRIELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4295 5TH AVE, MARIANNA, FL 32446-2176
(850) 482-8091
Mailing address
4295 5TH AVE, MARIANNA, FL 32446-2176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15051
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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