Individual
EMILY JANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
390 PONDELLA RD STE 9, NORTH FORT MYERS, FL 33903-4340
(941) 380-4758
Mailing address
2097 DELTA ST, PORT CHARLOTTE, FL 33952-3808
(941) 380-4758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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