Individual
KRISTY LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9600 N PECOS ROAD, NORTH LAS VEGAS, NV 89096-4400
(702) 791-9000
Mailing address
9600 N PECOS ROAD, NORTH LAS VEGAS, NV 89096-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
41281
TX
1041C0700X
Clinical Social Worker
Primary
0304007707
VA
Other
Enumeration date
03/05/2008
Last updated
11/19/2014
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