Susan K Martin
Counselor, Professional in Decatur, IL. Individual provider (NPI-1).
NPI number1609024298
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1609024298
- Entity type
- Individual (NPI-1)
- Name
- Susan K Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2008
- Last updated
- Sep 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178-005461 | IL | Yes |
Practice location
151 N Main StDecatur, IL 62523-1206
Phone 217-362-6262 · Fax 217-362-6290
Mailing address
Po Box 710Decatur, IL 62525-0710
Phone 217-362-6262 · Fax 217-362-6290
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