Individual
EARVIN ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11575 E LAKETOWNE DR, ALBERTVILLE, MN 55301-4348
(248) 299-0030
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
(248) 436-4366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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