Individual
MS. ERICA MARGARET MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW, CMFSW, AD
Contact information
Practice address
3677 PARK AVE, ELLICOTT CITY, MD 21043-4511
(443) 610-2404
Mailing address
3677 PARK AVE, ELLICOTT CITY, MD 21043-4511
(443) 610-2404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G1198
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-2003375
LLC
MD
Enumeration date
07/27/2011
Last updated
07/27/2011
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