Individual
MARTHA J. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
491 STEVENS AVE, PORTLAND, ME 04103-2636
(207) 828-9588
Mailing address
25 STONECREST DR, FALMOUTH, ME 04105-1865
(207) 828-9588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3745
ME
Other
Enumeration date
07/14/2006
Last updated
10/20/2009
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