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Individual
MARTIN R PRITCHETT
Active
Individual
MARTIN R PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S30S
BCBS ID NO
TX
05
—
101194202
—
TX
01
—
119227
CHIP ID NO
TX
01
—
121827101
SWL & HEALTH ID NO
TX
01
—
18834
STATE LICENSE
TX
Enumeration date
07/09/2006
Last updated
09/23/2014
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