MISTY MARTIN

KINGMAN, AZ
NPI1457890089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  101YA0400X)
Enumeration Date2017-02-15
Last Update Date2017-02-15
Business Address
Mrs. MISTY MARTIN LISAC
915 AIRWAY AVE
KINGMAN, AZ 86409-3570
Phone number: 928-718-4800
Mailing Address
Mrs. MISTY MARTIN LISAC
915 AIRWAY AVE
KINGMAN, AZ 86409-3570
Phone number: 928-718-4800
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