Individual
RICHARD J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1704 HIGHWAY 69 WEST, TRUMANN, AR 72472-2029
(870) 483-4003
(870) 483-4009
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6539-M
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173917795
—
AR
Enumeration date
01/29/2008
Last updated
05/09/2018
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