Individual
TAMEISHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15814 E 24 HWY, INDEPENDENCE, MO 64050-2015
(816) 753-1881
Mailing address
PO BOX 672, LIBERTY, MO 64069-0672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2018043944
MO
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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