Individual
MRS. JENNIFER M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
Mailing address
709 WALNUT RIDGE ST APT 207, JOPLIN, MO 64801-5895
(620) 423-5356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
03/16/2015
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