Individual
EVAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
Mailing address
170 BOULEVARD SE APT H217, ATLANTA, GA 30312-2386
(301) 653-9878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25828
MD
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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