Individual
ANNE L MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
77 WINSOR ST, STE 101, LUDLOW, MA 01056-3469
(413) 583-6750
(413) 589-7001
Mailing address
77 WINSOR ST, STE 101, LUDLOW, MA 01056-3469
(413) 583-6750
(413) 589-7001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1018012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1892070
—
MA
Enumeration date
10/05/2005
Last updated
07/08/2007
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