Individual
MR. MARCUS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSW, MSW, LPC
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
PO BOX 291, BATESVILLE, MS 38606-0291
(414) 737-9005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6032
WI
104100000X
Social Worker
Primary
130717
WI
Other
Enumeration date
08/01/2016
Last updated
04/29/2020
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