Individual
MS. CARA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4045 NW 64TH ST STE 520, OKLAHOMA CITY, OK 73116-8608
(405) 842-4911
Mailing address
600 REDWOOD DR, NOBLE, OK 73068-8220
(405) 413-9102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3412
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200396590A
—
OK
Enumeration date
01/07/2009
Last updated
11/11/2021
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