Individual
CARLYNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
138 N COURT ST, WAMPSVILLE, NY 13163-7714
(315) 264-8006
Mailing address
138 N COURT ST, WAMPSVILLE, NY 13163-7714
(315) 264-8006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108559-01
NY
Other
Enumeration date
12/10/2019
Last updated
07/07/2022
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