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1083912117
EBONIQUE MARTIN
VALDOSTA, GA
NPI
1083912117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA 001168)
Enumeration Date
2011-03-15
Last Update Date
2022-10-24
Business Address
MS. EBONIQUE MARTIN LMFT
2109 N PATTERSON ST STE B
VALDOSTA, GA 31602-2577
Phone number: 229-232-4833
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Mailing Address
MS. EBONIQUE MARTIN LMFT
805 HARMON DR APT B6
VALDOSTA, GA 31601-8477
Phone number: 229-232-9061
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