Individual
KAYLA LEANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N EARLE ST, WALHALLA, SC 29691-2419
(864) 916-4349
Mailing address
214 GREEN TREE TRL, WESTMINSTER, SC 29693-4867
(864) 723-6792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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