Individual
KIMBERLY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
321 MANLEY ST, WEST BRIDGEWATER, MA 02379-1022
(781) 341-4145
(781) 297-7345
Mailing address
20 CARPENTERS LN, RAYNHAM, MA 02767-1986
(508) 880-0721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116387
MA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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