Individual
MR. EARL CLAYTON MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
330 S YORK ST, GASTONIA, NC 28052-4052
(704) 864-6573
Mailing address
726 BECKHAM LN APT 404, ROCK HILL, SC 29732-3243
(803) 338-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011418
NC
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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