Individual
SKYLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW, CRADC
Contact information
Practice address
301 SOVEREIGN CT STE 115, BALLWIN, MO 63011-4435
(636) 234-3052
Mailing address
9233 SOUTHVIEW LN, SAINT LOUIS, MO 63123-6441
(573) 578-5709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023029189
MO
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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