Individual
MRS. JENNIFER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105T, TEMPE, AZ 85282-2692
(602) 638-0737
Mailing address
2120 S MCCLINTOCK DR STE 105T, TEMPE, AZ 85282-2692
(602) 638-0737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-18605
AZ
Other
Enumeration date
09/28/2012
Last updated
10/05/2020
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