Individual
MARCIA GANSEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S MAIN ST STE 3, MAQUOKETA, IA 52060-3000
(563) 513-8728
Mailing address
927 N 2ND ST, CLINTON, IA 52732-3750
(563) 513-8728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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