Individual
TIMOTHY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
90 WAGNER RD, MONACA, PA 15061-2489
(800) 827-1000
Mailing address
90 WAGNER RD # RF, MONACA, PA 15061-2489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134321
PA
Other
Enumeration date
06/13/2017
Last updated
06/20/2018
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