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Individual
MS. MARTHA BADER
Active
Individual
MS. MARTHA BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
74278
CA
1041C0700X
Clinical Social Worker
Primary
94856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94856
BOARD OF BEHAVIORAL SCIENCES
CA
01
—
C013153
NC SOCIAL WORK AND CERTIFICATION BOARD
NC
Enumeration date
06/30/2018
Last updated
01/12/2021
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