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Individual

MRS. KRISTINE ELIZABETH MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
804 W 9TH ST N, SUITE B, LADYSMITH, WI 54848-1267
(715) 532-9771
(715) 532-9774
Mailing address
804 W 9TH ST N, SUITE B, LADYSMITH, WI 54848-1267
(715) 532-9771
(715) 532-9774

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
406-125
WI

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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