Individual
MS. CHRISTINE MARGARET MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2718 DUVAL DR, DALLAS, TX 75211-2764
(732) 567-2200
Mailing address
2718 DUVAL DR, DALLAS, TX 75211-2764
(732) 567-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18457
FL
1041C0700X
Clinical Social Worker
44SC05706300
NJ
1041C0700X
Clinical Social Worker
Primary
55219
TX
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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