Individual
MRS. CARRIE CLEM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3201 TWILIGHT TRL, AUSTIN, TX 78748-2612
(512) 203-3231
Mailing address
3201 TWILIGHT TRL, AUSTIN, TX 78748-2612
(512) 203-3231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17678
TX
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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