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Individual

MS. DEBORAH ANNE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
116 NE 5TH ST, CRYSTAL RIVER, FL 34429
(352) 804-2953
(352) 228-8901
Mailing address
2252 S BOLTON AVE, HOMOSASSA, FL 34448-2206
(352) 804-2953
(352) 228-8901

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
FL
1041C0700X
Clinical Social Worker
Primary
SW8375
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002272900
FL
05
008618700
FL
Enumeration date
01/25/2008
Last updated
05/20/2016
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