Individual
KATHLEEN SUSAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N CENTER ST, HEGIRA NORTHVILLE COUNSELING CENTER, NORTHVILLE, MI 48167-1469
(248) 347-3470
(248) 347-2242
Mailing address
3155 MYDDLETON DR, TROY, MI 48084-1224
(248) 280-3940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008985
MI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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