Individual
ALICIA ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1611 OAK AVE, MUSKEGON, MI 49442-2468
(231) 767-1921
(231) 767-0527
Mailing address
15773 KITCHEL LN, GRAND HAVEN, MI 49417-2928
(616) 634-9963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801115021
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/24/2019
Last updated
08/31/2022
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