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Individual
CRISTAL MARTIN
Active
Individual
CRISTAL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115214
NY
104100000X
Social Worker
225254
MA
1041C0700X
Clinical Social Worker
Primary
098813
NY
Other
Enumeration date
07/03/2019
Last updated
03/02/2026
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