Individual
ANDREA L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
(616) 805-3660
(616) 805-3631
Mailing address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093613
MI
Other
Enumeration date
05/07/2013
Last updated
01/05/2021
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