Individual
MR. TERRY J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
98-211 PALI MOMI ST STE 707, AIEA, HI 96701-4339
(808) 271-5112
Mailing address
95-1001 HOOMUA ST, MILILANI, HI 96789-4260
(808) 271-5112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3074
HI
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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