Individual
BRIAN JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 223-7524
Mailing address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 223-7524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20003
MN
1041C0700X
Clinical Social Worker
6574
ND
Other
Enumeration date
11/11/2012
Last updated
06/24/2024
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