Individual
MS. KENYETTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
976 PARK PL, BROOKLYN, NY 11213-1803
(718) 771-0760
Mailing address
976 PARK PL, BROOKLYN, NY 11213-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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