Individual
JAIME L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5420 KLEE MILL RD S STE 4, ELDERSBURG, MD 21784-9230
(410) 746-5868
Mailing address
7524 MAIN ST STE 101, SYKESVILLE, MD 21784-7594
(410) 746-5868
(410) 875-7687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17349
STATE LICENSE
MD
Enumeration date
08/24/2019
Last updated
08/24/2019
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