Individual
MS. EVELINA CAROL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6630 QUAKER AVE STE 102, DIALYSIS CENTER OF LUBBOCK, LUBBOCK, TX 79413-5939
(806) 793-1414
(806) 793-0932
Mailing address
5118 46TH ST, LUBBOCK, TX 79414-3232
(806) 470-2841
(806) 793-0932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 25334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW 25334
LICENSED CLNICAL SOCIAL W
TX
Enumeration date
09/20/2006
Last updated
07/08/2007
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