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Individual

MS. ANNE LOUISE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1820 COUNTRY CLUB RD, HARRISONBURG, VA 22802-8858
(540) 433-1663
(540) 432-1535
Mailing address
1820 COUNTRY CLUB RD, HARRISONBURG, VA 22802-8858
(540) 433-1663
(540) 432-1535

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001995
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081651
SENTARA PROVIDER #
VA
01
119141
ANTHEM PROVIDER #
VA
01
512526
VALUE OPTIONS PROVIDER #
VA
Enumeration date
10/10/2006
Last updated
07/09/2007
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