Individual
STEFANIE LYNNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
212 N OAKDALE AVE, MEDFORD, OR 97501-2632
(541) 779-5242
(541) 779-2523
Mailing address
212 N OAKDALE AVE, MEDFORD, OR 97501-2632
(541) 779-5242
(541) 779-2523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5921
OR
Other
Enumeration date
05/30/2007
Last updated
10/06/2015
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