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Individual

LAURIE M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
89 W SOUTH BLVD, TROY, MI 48085
(248) 891-2607
Mailing address
1596 PEACEFUL LN N, CLEARWATER, FL 33756-1705
(248) 891-2607

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401008033
MI
103T00000X
Psychologist
Primary
6361000315
MI
103T00000X
Psychologist

Other

Enumeration date
03/21/2007
Last updated
08/04/2022
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