Individual
MS. TIA ELISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
911 WHISPERING PINES TRL SW, DECATUR, AL 35603-3201
(256) 552-7540
Mailing address
911 WHISPERING PINES TRL SW, DECATUR, AL 35603-3201
(256) 552-7540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003717
VA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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