Individual
JENNIFER ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
5010 FAIRVIEW AVE STE 5, DOWNERS GROVE, IL 60515-5201
(630) 869-0149
Mailing address
1188 ROYAL GLEN DR APT 119B, GLEN ELLYN, IL 60137-6005
(630) 302-8970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104615
IL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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