Individual
MS. NINA KAY MARTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
6250 M 66 N, CHARLEVOIX, MI 49720-9272
(231) 547-5885
(231) 547-0136
Mailing address
704 GRANT ST, CHARLEVOIX, MI 49720-1353
(616) 550-9343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014417
MI
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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