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Individual

MR. ROBERT WESLEY MARTIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPC-LMFT

Contact information

Practice address
25145 GRANITE HEIGHTS DR, CUSTER, SD 57730-2501
(605) 673-4330
Mailing address
25145 GRANITE HEIGHTS DR, CUSTER, SD 57730-2501
(605) 673-4330

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT1179
SD

Other

Enumeration date
06/02/2006
Last updated
07/08/2007
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