Individual
MICHELE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCLS
Contact information
Practice address
3501 RED RIVER ST, AUSTIN, TX 78705-1831
(512) 461-3638
Mailing address
5316 CARDINAL FLOWER CV, SPICEWOOD, TX 78669-6969
(512) 461-3638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3688
TX
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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