Individual
MS. ANGEL LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9968
Mailing address
88TH MDOS/SGOMO, 4881 SUGAR MAPLE DRIVE, WRIGHT-PATTERSON, AFB, OH 45433
(937) 257-9968
(937) 257-0450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006309A
IN
Other
Enumeration date
04/24/2013
Last updated
04/04/2018
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