Individual
GWENDOLYN L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 995-9948
(540) 985-9928
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5516
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012551
VA
Other
Enumeration date
01/25/2021
Last updated
03/17/2021
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