Individual
DAWN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
623 DEVEREAUX AVE, PHILADELPHIA, PA 19111-5703
(215) 900-2592
Mailing address
623 DEVEREAUX AVE, PHILADELPHIA, PA 19111-5703
(215) 900-2592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129427
PA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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