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Individual

MS. LORI COX MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
SS#0000554
FL
103T00000X
Psychologist
SS#0000554
FL
103TS0200X
School Psychologist
Primary
SS#0000554
FL

Other

Enumeration date
12/19/2008
Last updated
12/19/2008
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