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Individual

DOLORES M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LCSW

Contact information

Practice address
1106 TUNNEL HILL RD STE 100, ELIZABETHTOWN, KY 42701-8026
(270) 765-2335
Mailing address
102 NOLTEMEYER WAY APT 2F, ELIZABETHTOWN, KY 42701-5959
(502) 592-4039

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1070
KY

Other

Enumeration date
12/26/2006
Last updated
10/16/2023
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