Individual
MS. CHRISTA NICHOL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
5007 SOUTHPARK DR STE 200E, DURHAM, NC 27713-7739
(910) 528-5591
Mailing address
910 HORTON RD, DURHAM, NC 27704-1750
(910) 528-5591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007870
NC
Other
Enumeration date
11/18/2010
Last updated
07/14/2020
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