Individual
LISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 POND VIEW DR, PORT WASHINGTON, NY 11050-2468
(516) 570-6995
Mailing address
224 FRANKLIN AVE, HEWLETT, NY 11557-1939
(516) 791-6200
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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