Individual
EDEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(616) 464-6454
(206) 652-1236
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
(616) 464-6454
(206) 652-1236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60858331
WA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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