Individual
MARTANA ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2694 N MARTIN ST, EAST POINT, GA 30344-6900
(716) 771-9961
Mailing address
2694 N MARTIN ST, EAST POINT, GA 30344-6900
(716) 771-9961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007322
GA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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