Individual
MARILYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24209 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2539
(702) 635-6564
Mailing address
29533 EASTFIELD ST, FARMINGTON HILLS, MI 48334-2229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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