Individual
MS. VANESSA HOLME MARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1633 CALHOUN DR, ABBEVILLE, AL 36310-5643
(334) 687-5056
Mailing address
PO BOX 1103, EUFAULA, AL 36072-1103
(334) 687-5056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
006778
GA
174400000X
Specialist
1770
AL
Other
Enumeration date
04/26/2012
Last updated
05/04/2012
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