Individual
MS. EVELYN E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, SST
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Mailing address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086054
MI
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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