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Individual

KIRSTEN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
7215 W SPUR CT, BOISE, ID 83709-6690

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-798
ID
1041C0700X
Clinical Social Worker

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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