Individual
KACIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 635-4804
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010202
VA
Other
Enumeration date
05/04/2018
Last updated
10/18/2021
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