Individual
ALISSA R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-3371
(715) 588-2031
Mailing address
129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-3371
(715) 588-2031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130731-121
WI
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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