# JUDITH A MARTIN L.C.S.W., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255588455
- **Authorized official:** MS. JUDITH A MARTIN L.C.S.W. (PRESIDENT)
- **Authorized official phone:** (541) 957-9106

## Contact information

- **Practice address:** 2385 NW CABRILLO CT, ROSEBURG, OR 97471-6041
- **Practice address phone:** (541) 957-9106
- **Mailing address:** 2385 NW CABRILLO CT, ROSEBURG, OR 97471-6041
- **Mailing address phone:** (541) 957-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2328 | OR | Yes |

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 08/19/2008