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Organization
PROGRESSIVE MOVEMENT INC.
Active
Organization
PROGRESSIVE MOVEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI MARIE MARTIN LCSW (MENTAL HEALTH THERAPIST)
(760) 442-5513
Entity
Organization
Contact information
Practice address
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307-1331
(760) 442-5513
Mailing address
16041 KAMANA RD STE A, APPLE VALLEY, CA 92307-1331
(760) 442-5513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-101451
BBS NUMBER
CA
Enumeration date
03/11/2022
Last updated
03/11/2022
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