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Individual

KORY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 4TH AVE W, GOVERNMENT CENTER SUITE 300, SHAKOPEE, MN 55379-1220
(952) 496-8481
Mailing address
2658 ALABAMA AVE S, ST LOUIS PARK, MN 55416-1761
(651) 434-3795

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT
MN

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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