Individual
MALISSA DENAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
39 FLANDERS STREET, WRIGHTSVILLE, GA 31096
(478) 247-9553
Mailing address
39 FLANDERS STREET, WRIGHTSVILLE, GA 31096
(478) 247-9553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010826
GA
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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