Individual
AKAILA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
338 W SEXTON ST, BLACKFOOT, ID 83221-2148
(208) 261-1189
Mailing address
338 W SEXTON ST, BLACKFOOT, ID 83221-2148
(208) 261-1189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3971658
ID
Other
Enumeration date
02/18/2022
Last updated
05/14/2025
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