Individual
KATRICE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
(216) 320-8369
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
(216) 320-8369
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1500697TRNE
OH
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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