Individual
LYNN RUTH MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12586
NE
103T00000X
Psychologist
Primary
652
ND
103TC0700X
Clinical Psychologist
652
ND
Other
Enumeration date
10/01/2021
Last updated
09/19/2024
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