Individual
EILEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 DRIFTWOOD CT, GIBSONVILLE, NC 27249-3318
(336) 901-2999
Mailing address
30 DRIFTWOOD CT, GIBSONVILLE, NC 27249-3318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013141
NC
Other
Enumeration date
10/20/2019
Last updated
08/18/2020
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