Individual
LEETTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 HARRIS HILL RD STE 101, WILLIAMSVILLE, NY 14221-7472
(585) 322-5774
Mailing address
338 HARRIS HILL RD STE 101, WILLIAMSVILLE, NY 14221-7472
(585) 322-5774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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