Individual
STEPHANIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
314 17TH AVE N, HOPKINS, MN 55343-7343
(612) 599-4018
Mailing address
5597 W 131ST ST, SAVAGE, MN 55378-2438
(612) 599-4018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
01/12/2020
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