Individual
TRACIE ARLENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(507) 987-3080
Mailing address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7774-C
AR
1041C0700X
Clinical Social Worker
8195
OK
Other
Enumeration date
09/30/2021
Last updated
04/09/2026
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