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Individual

MS. (DELORES) 'LYNNE' MARTINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, CT

Contact information

Practice address
1919 70TH AVE W, SUITE D, UNIVERSITY PLACE, WA 98466-5541
(253) 572-6880
(253) 572-9505
Mailing address
PO BOX 65253, 1919 70TH AVENUE WEST, SUITE D, UNIVERSITY PLACE, WA 98464-1253
(253) 572-6880
(253) 572-9505

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004744
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156086
MANAGED HEALTH NETWORK
WA
01
156089
AETNA HEALTHCARE
WA
01
1938MA
REGENCE BLUESHIELD OF WA
WA
Enumeration date
12/13/2006
Last updated
05/06/2008
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