Individual
MARY ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5222 BRADDOCK AVE, N CHARLESTON, SC 29405-4174
(843) 284-6306
Mailing address
5222 BRADDOCK AVE, N CHARLESTON, SC 29405-4174
(843) 284-6306
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4558
SC
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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