Individual
MRS. DANA D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(980) 254-5995
Mailing address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(980) 254-5995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017347
NC
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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