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Individual

MRS. KIMBERLY L MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LPC, NCC

Contact information

Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 725-2204
(662) 725-2497
Mailing address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 725-2204
(662) 725-2497

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1657
MS

Other

Enumeration date
06/12/2012
Last updated
06/13/2012
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