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Individual
JESSICA DANIELLE MARTIN
Active
Individual
JESSICA DANIELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801114999
MI
1041C0700X
Clinical Social Worker
Primary
6801114999
MI
Other
Enumeration date
04/16/2019
Last updated
09/16/2024
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