Individual
MR. ANDREW WOOD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Mailing address
64 CUTLER HILL RD, EDDYVILLE, NY 12401-8718
(845) 338-0911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057402-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0574021
LCSW-R
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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