Individual
BENJAMIN MARTIN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 N HOWARD AVE, CROSWELL, MI 48422-1278
(810) 878-5050
Mailing address
110 N HOWARD AVE STE 1, CROSWELL, MI 48422-1256
(810) 878-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801100730
MI
1041C0700X
Clinical Social Worker
Primary
6801108050
MI
Other
Enumeration date
03/03/2016
Last updated
02/26/2023
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