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Individual

ADRIANNE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1034 S BRENTWOOD BLVD STE 555, RICHMOND HEIGHTS, MO 63117-1265
(636) 896-5867
Mailing address
1800 SUNS UP WAY, FLORISSANT, MO 63031-9105
(636) 896-5867

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017019451
MO

Other

Enumeration date
08/06/2018
Last updated
08/06/2018
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