Provider Information for 1215161674
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Mrs. LORIANNE MARTIN M.A., LPC
Sex: Female
NPI: 1215161674
Last Updated: 2020-02-11
Certification Date: 2020-02-11
Certification Date: 2020-02-11
Details
Name | Value | ||||||||
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NPI | 1215161674 | ||||||||
Enumeration Date | 2009-05-13 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1495 TEXTER MOUNTAIN RD REINHOLDS, PA 17569-9203 United States Phone: 717-271-6536 | Fax: | ||||||||
Primary Practice Address | 1495 TEXTER MOUNTAIN RD REINHOLDS, PA 17569-9203 United States Phone: 717-682-2138 | Fax: | ||||||||
Secondary Practice Address(es) | 1733 PENN AVENUE | ||||||||
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