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Individual

EMILY JULIANNE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4323 OLD MILL RD STE B, ANDERSON, SC 29621
(864) 671-1466
(864) 671-1371
Mailing address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-43960
SC

Other

Enumeration date
03/14/2018
Last updated
05/14/2018
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