Individual
MR. MICHAEL GERHARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
940 SAXTONS RIVER RD, SAXTONS RIVER, VT 05154-9701
(802) 376-1516
Mailing address
940 SAXTONS RIVER RD, SAXTONS RIVER, VT 05154-9701
(508) 423-2369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0136582
VT
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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