Individual
EBONI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4506 AIKEN TRL, SACHSE, TX 75048-3338
(972) 863-1003
Mailing address
4506 AIKEN TRL, SACHSE, TX 75048-3338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111038
TX
1041C0700X
Clinical Social Worker
Primary
111038
TX
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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