Individual
JESSICA SERENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 N COURT ST, WAYNE, WV 25570-1141
(304) 272-5116
(304) 272-5993
Mailing address
212 N COURT ST, WAYNE, WV 25570-1141
(304) 272-5116
(304) 272-5993
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
N3E143300096
WV
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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