Individual
MS. DEBRA JOYCE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
25140 LAHSER RD STE 203A, SOUTHFIELD, MI 48033-6311
(248) 252-8806
(248) 443-1543
Mailing address
30625 NADORA ST, SOUTHFIELD, MI 48076-7712
(248) 252-8806
(248) 443-1543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801083977
MI
104100000X
Social Worker
6801083977
MI
1041C0700X
Clinical Social Worker
Primary
6801083977
MI
Other
Enumeration date
12/05/2012
Last updated
12/15/2012
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