Individual
ALEXANDRIA BROOKE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
144 S THOMAS ST STE 102, TUPELO, MS 38801-5332
(769) 251-5550
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9582
MS
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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