Individual
JESSICA LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3761 ASHLEY OAKS DR, LAFAYETTE, IN 47905-6024
(765) 615-7856
Mailing address
3761 ASHLEY OAKS DR, LAFAYETTE, IN 47905-6024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33013219A
IN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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