Individual
MARYANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3907 S 186TH LN, GOODYEAR, AZ 85338-7641
(623) 556-7459
Mailing address
1755 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395-2532
(623) 556-7459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-22218
AZ
101Y00000X
Counselor
—
AZ
Other
Enumeration date
07/10/2015
Last updated
11/30/2023
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