KENNETH LEON MARTIN

COLUMBIA, SC
NPI1093899007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  4941)
Enumeration Date2006-10-25
Last Update Date2011-09-06
Business Address
-- KENNETH LEON MARTIN MA, LPC
105 PACES BROOK AVE #10518
COLUMBIA, SC 29212-1642
Phone number: 803-467-4125
Mailing Address
-- KENNETH LEON MARTIN MA, LPC
105 PACES BROOK AVE APT 10518
COLUMBIA, SC 29212-1642
Phone number: 803-467-4125
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