Individual
LEEANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2841 N PATTERSON ST, VALDOSTA, GA 31602-1743
(229) 293-0132
(229) 293-0162
Mailing address
406 E PARK AVE, VALDOSTA, GA 31602-3036
(770) 540-5891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2615
GA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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