Organization
JUDITH A MARTIN L.C.S.W., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH A MARTIN L.C.S.W. (PRESIDENT)
(541) 957-9106
Entity
Organization
Contact information
Practice address
2385 NW CABRILLO CT, ROSEBURG, OR 97471-6041
(541) 957-9106
Mailing address
2385 NW CABRILLO CT, ROSEBURG, OR 97471-6041
(541) 957-9106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2328
OR
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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