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Individual

KATHRYN BLAIR MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
7900 TRIAD CENTER DR, GREENSBORO, NC 27409-9073
(336) 931-1812
(336) 931-1801
Mailing address
518 SUMMIT AVE # B, GREENSBORO, NC 27405-7740
(803) 414-4332
(336) 931-1801

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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