Individual
JULIE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KENTON DR, CHARLESTON, WV 25311-1256
(803) 207-6087
Mailing address
1 KENTON DR, CHARLESTON, WV 25311-1256
(803) 207-6087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946885
WV
1041C0700X
Clinical Social Worker
BP00946885
WV
Other
Enumeration date
01/09/2025
Last updated
03/30/2025
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