Individual
DEBORAH CAROL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3784
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090533
MI
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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