Individual
MS. ERIN KIM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1200780
OH
1041C0700X
Clinical Social Worker
Primary
61690853
WA
1041C0700X
Clinical Social Worker
I.1450830
OH
Other
Enumeration date
07/08/2013
Last updated
09/16/2025
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