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Individual

MS. MICHELE DIONNE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
22214 D ST, STROTHER FIELD, WINFIELD, KS 67156-7376
(620) 221-9664
(620) 221-1983
Mailing address
925 W SKYLINE RD APT 1123, ARKANSAS CITY, KS 67005-4043
(620) 221-9664
(620) 221-1983

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6104
KS

Other

Enumeration date
09/20/2006
Last updated
07/09/2007
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