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Individual

LYNETTA LAVON MARTINDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4787 E ADDISON AVE, EAGLE MOUNTAIN, UT 84005-6087
(435) 238-0291
Mailing address
4787 E ADDISON AVE, EAGLE MOUNTAIN, UT 84005-6087
(435) 238-0291

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8701348-3902
UT

Other

Enumeration date
05/04/2019
Last updated
05/04/2019
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