Individual
MRS. HEATHER ALENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
29351 MAIN STREET, CHISAGO CITY, MN 55013
(763) 689-9407
Mailing address
PO BOX 105, LINDSTROM, MN 55045-0105
(763) 689-9407
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
962
MN
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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