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Individual

MRS. ANGELA M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MS, LPC

Contact information

Practice address
141 S CENTER ST STE 301, CASPER, WY 82601-2543
(307) 394-2548
Mailing address
141 S CENTER ST STE 301, CASPER, WY 82601-2543
(307) 394-2548

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-2053
WY
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
LPC-2053
WY

Other

Enumeration date
10/11/2021
Last updated
06/17/2022
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