Most Relevant Information
Provider Data
| NPI Number: | 1003369208 |
| Provider Name: | STEPHENIE ANN MARTIN B.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2016 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
1704 E BROADWAY AVE
MARYVILLE
TN
378042916
Practice Location Phone/Fax
| Phone: | 8656816990 |
| Fax: |
Provider Mailing Location
200 TECH CENTER DR
KNOXVILLE
TN
379122747
Provider Mailing Phone/Fax
| Phone: | 8656379711 |
| Fax: |