Individual
MISS JANEEN ERIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
129 MAIN ST, SANDY, UT 84070-1509
(801) 899-6167
Mailing address
129 MAIN ST, SANDY, UT 84070-1509
(801) 899-6167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7416115-3502
UT
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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