Individual
RENESHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9702 STONESTREET RD, STE. 110, LOUISVILLE, KY 40272-6808
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1551
KY
Other
Enumeration date
06/07/2012
Last updated
07/23/2013
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