Individual
GILLIAN ALEXANDRA MARTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2619 E NORRIS ST, PHILADELPHIA, PA 19125-3522
(917) 690-2311
Mailing address
2619 E NORRIS ST, PHILADELPHIA, PA 19125-3522
(917) 690-2311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017471
PA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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