CLINTON WALLACE MARTIN

BILOXI, MS
NPI1245254176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MS  22 274)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
DR. CLINTON WALLACE MARTIN PHD
400 VETERANS AVE (116B)
BILOXI, MS 39531-2410
Phone number: 228-523-5750
Mailing Address
DR. CLINTON WALLACE MARTIN PHD
4923 COURTHOUSE RD
GULFPORT, MS 39507-4246
Phone number: 228-523-5750
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