Individual
ANGELINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
697 PRO-MED LN, CARMEL, IN 46032-5323
(317) 574-1254
(317) 674-0059
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4360
(317) 574-1254
(317) 674-0059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99054687A
IN
Other
Enumeration date
11/29/2012
Last updated
01/08/2013
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