Individual
MS. JACQUELINE YVETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223
(614) 752-0333
(614) 752-0087
Mailing address
30 E BROAD ST, 11TH FL ATTN TONYA FASONE, COLUMBUS, OH 43215
(614) 466-9930
(614) 644-9930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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