Individual
KRISTIN ELAINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
813 N FRANKLIN ST, VAN WERT, OH 45891-1303
(419) 238-4019
Mailing address
PO BOX 176, PAULDING, OH 45879-0176
(419) 399-4711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13327
OH
Other
Enumeration date
01/15/2019
Last updated
02/13/2019
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