Individual
SHARON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 YOKUM ST, ELKINS, WV 26241-3353
(304) 636-3232
(304) 636-9243
Mailing address
RR 1 BOX 23, BEVERLY, WV 26253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811055015
—
WV
Enumeration date
04/06/2007
Last updated
07/09/2007
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