Individual
MS. MARTHA LYNNE FARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW, PH.D.
Contact information
Practice address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-3742
Mailing address
4450 E 6TH AVE, ANCHORAGE, AK 99508-2227
(907) 338-8947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
422
AK
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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