Individual
CAROL A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4940 E STATE ST, ROCKFORD, IL 61108-2270
(815) 227-0081
Mailing address
12 WATERFRONT CT, ALGONQUIN, IL 60102-6832
(847) 503-9041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.002.115
IL
1041C0700X
Clinical Social Worker
Primary
149002115
IL
Other
Enumeration date
09/20/2006
Last updated
08/11/2024
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