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Individual

GRACE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
105 N OAK PARK AVE # 2B, OAK PARK, IL 60301-1364
(786) 239-5280
Mailing address
105 N OAK PARK AVE # 2B, OAK PARK, IL 60301-1364
(786) 239-5280

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001111
IL

Other

Enumeration date
02/22/2016
Last updated
01/15/2026
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