Individual
MRS. MARTHA WILLIAMS HOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
123 DUTCH LAKE TRL, HOWARD LAKE, MN 55349-5135
(320) 543-2792
Mailing address
123 DUTCH LAKE TRL, HOWARD LAKE, MN 55349-5135
(320) 543-2792
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00111
MN
101YP2500X
Professional Counselor
4582
NC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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