Individual
JENNIFER ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
424 PERRY ST, LA PORTE, IN 46350-3200
(219) 809-0333
(219) 809-0334
Mailing address
58938 TOWNE RD, ELKHART, IN 46517-9340
(574) 606-4044
(219) 531-0859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/29/2015
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