Individual
MARTHA ANN SANCLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
1148 4TH ST, MUSKEGON, MI 49441-1907
(231) 726-2299
(231) 728-6345
Mailing address
1148 4TH ST, MUSKEGON, MI 49441-1907
(231) 726-2299
(231) 728-6345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301013379
STATE LICENSE
MI
Enumeration date
07/27/2009
Last updated
07/27/2009
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