Individual
MARGARET LANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
499 KEYWOOD CIR, FLOWOOD, MS 39232-3001
(601) 718-0328
Mailing address
503 OAKLEIGH PL, BRANDON, MS 39047-6297
(601) 506-5922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2301
MS
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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