Individual
PATRICIA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
63846 COUNTY ROAD 35, SUITE 2, GOSHEN, IN 46528-9621
(574) 523-1839
Mailing address
214 QUEEN ST, GOSHEN, IN 46528-2654
(574) 533-0926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001575A
IN
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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