Individual
MARYEVA ELLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3360 HIGHWAY 411 N, ENGLEWOOD, TN 37329-5276
(423) 887-5131
(423) 887-5917
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9715 (LMSW)
TN
104100000X
Social Worker
—
—
Other
Enumeration date
03/11/2013
Last updated
01/24/2014
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