Individual
MRS. JACKLYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 OVERVIEW DR, LEXINGTON, KY 40514-1032
(859) 338-8528
Mailing address
913 OVERVIEW DR, LEXINGTON, KY 40514-1032
(859) 338-8528
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201111003
KY
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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