Individual
CAMISHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 WESTERN AVE, CHICAGO HEIGHTS, IL 60411-3147
(708) 292-7000
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150106147
IL
1041C0700X
Clinical Social Worker
Primary
149.027796
IL
Other
Enumeration date
04/20/2022
Last updated
06/09/2025
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