Individual
LORI RAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4301 E. GUADALUPE RD., HIGLEY, AZ 85296
(480) 813-0051
(480) 813-0258
Mailing address
16843 S 13TH WAY, PHOENIX, AZ 85048-4760
(480) 460-0820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-2874
AZ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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