Individual
MS. TYRA MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39420 OCEANVIEW AVE, PRAIRIEVILLE, LA 70769-4596
(225) 447-4499
Mailing address
39420 OCEANVIEW AVE, PRAIRIEVILLE, LA 70769-4596
(225) 447-4499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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