Individual
CHANEL M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 GARDEN SPRINGS LN APT 204, RALEIGH, NC 27610-5287
(845) 304-4825
Mailing address
5330 GARDEN SPRINGS LN APT 204, RALEIGH, NC 27610-5287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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