Individual
ANDREA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
7701 S ZERO ST, FORT SMITH, AR 72903-6644
(479) 478-5694
(479) 478-5694
Mailing address
5812 REMINGTON CIR, FORT SMITH, AR 72903-6616
(479) 478-5610
(479) 478-5613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
11/15/2011
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