Amanda Beth Martin
NPI #1003388380 in New London, Wisconsin
Provider Information
- NPI Number
- 1003388380
- Entity Type
- Individual
- Name
- Amanda Beth Martin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 26, 2018
- Last Updated
- Dec 26, 2018
Practice Location
- Address
- E7475 RAWHIDE RD
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961-9025
- Phone
- (877) 300-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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