LATERRIEA MARTIN

CARBONDALE, IL
NPI1659299089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.030470)
Enumeration Date2026-07-06
Last Update Date2026-07-29
Business Address
LATERRIEA MARTIN LCSW
1819 W FREEMAN ST
CARBONDALE, IL 62901-2105
Phone number: 618-596-0416
Mailing Address
LATERRIEA MARTIN LCSW
1819 W FREEMAN ST
CARBONDALE, IL 62901-2105
Phone number: