Individual
MRS. JUDITH POWELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3601 IDAHO AVE NW, WASHINGTON, DC 20016-3121
(202) 277-1102
Mailing address
3601 IDAHO AVE NW, WASHINGTON, DC 20016-3121
(202) 277-1102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC302966
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H191
BLUE CROSSBLUE SHIELD
DC
Enumeration date
03/01/2007
Last updated
07/08/2007
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