Individual
DARLENE L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHBCM
Contact information
Practice address
500 PARK ST SE, POB 1729, ARDMORE, OK 73401-8358
(580) 223-7555
(580) 226-1462
Mailing address
500 PARK ST SE, POB 1729, ARDMORE, OK 73401-8358
(580) 223-7555
(580) 226-1462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7149
OK
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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