Individual
GEORGIA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
22907 EMBER BROOK CIR, BRAMBLETON, VA 20148-4901
(731) 780-9562
Mailing address
22907 EMBER BROOK CIR, BRAMBLETON, VA 20148-4901
(731) 780-9562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011406
VA
1041C0700X
Clinical Social Worker
Primary
32530
MD
1041C0700X
Clinical Social Worker
3900-123
WI
Other
Enumeration date
06/21/2021
Last updated
11/17/2025
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