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Individual
ROBERTA MARTIN
Active
Individual
ROBERTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386008407
MILITARY
—
Enumeration date
03/20/2019
Last updated
08/11/2023
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