Individual
MS. JUANA R. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2218 PRIMROSE DR, FALLS CHURCH, VA 22046-1838
(571) 338-3827
Mailing address
2218 PRIMROSE DR, FALLS CHURCH, VA 22046-1838
(571) 338-3827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006642
VA
1041C0700X
Clinical Social Worker
12204
MD
1041C0700X
Clinical Social Worker
LC3000815
DC
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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