Individual
DEMETRIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CTRS,CLC
Contact information
Practice address
600 STRADA CIR STE 220, MANSFIELD, TX 76063-3209
(469) 224-7679
Mailing address
600 STRADA CIR STE 220, MANSFIELD, TX 76063-3209
(469) 224-7679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10218
LA
1041C0700X
Clinical Social Worker
Primary
54332
TX
222Q00000X
Developmental Therapist
—
—
225800000X
Recreation Therapist
48665
—
Other
Enumeration date
10/08/2014
Last updated
02/17/2020
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