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Organization
WAYNE A MARTIN LCSW LLC
Active
Organization
WAYNE A MARTIN LCSW LLC
Active
Other names
Wayne A Martin, LCSW, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A MARTIN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(757) 873-1958
Entity
Organization
Contact information
Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Mailing address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000158
VA
Other
Enumeration date
02/19/2009
Last updated
04/24/2012
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