Individual
KEVIN LOUIS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
353 N DUFFY RD, BUTLER, PA 16001-1138
(724) 287-4781
Mailing address
353 N DUFFY RD, BUTLER, PA 16001-1138
(724) 287-4781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139831
PA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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