# MS. JUANA R. MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114232840
- **Gender:** F
- **Credential:** M.S.W.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904006642 | VA | Yes |
| 1041C0700X | Clinical Social Worker | 12204 | MD | — |
| 1041C0700X | Clinical Social Worker | LC3000815 | DC | — |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 08/18/2010