Individual
COLLEEN MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6361 PRESIDENTIAL CT STE 101, FORT MYERS, FL 33919-3583
(941) 322-7027
Mailing address
3601 BIRCHIN LANE, FORT MYERS, FL 33916-8046
(239) 900-0573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021489800
—
FL
Enumeration date
03/24/2014
Last updated
10/20/2022
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