CARLTON MARTIN

ROCKFORD, IL
NPI1184072126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178.011962)
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
-- CARLTON MARTIN LPC
5896 CREEKSIDE LN
ROCKFORD, IL 61114-6466
Phone number: 815-670-5791
Mailing Address
-- CARLTON MARTIN LPC
5896 CREEKSIDE LN
ROCKFORD, IL 61114-6466
Phone number: 815-670-5791
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