Individual
MARLIN C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 E WOODLAND ST, SPRINGFIELD, MO 65807-3746
(214) 662-0928
Mailing address
934 E WOODLAND ST, SPRINGFIELD, MO 65807-3746
(214) 662-0928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002009727
MO
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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