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1124468103
SHELLY A MARTIN
LUBBOCK, TX
NPI
1124468103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 67234)
Enumeration Date
2013-07-05
Last Update Date
2013-07-05
Business Address
-- SHELLY A MARTIN LPC
5717 66TH ST SUITE 125
LUBBOCK, TX 79424-1223
Phone number: 806-471-3688
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Mailing Address
-- SHELLY A MARTIN LPC
PO BOX 16768
LUBBOCK, TX 79490-6768
Phone number: 806-471-3688
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