Individual
HEATHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(972) 400-3289
Mailing address
113 E BROOKS ST, FORNEY, TX 75126-9615
(469) 632-7314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62987
TX
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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