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Individual
MARTHA WATTERMAN
Active
Individual
MARTHA WATTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS10922
CA
Other
Enumeration date
02/08/2007
Last updated
01/12/2010
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