Individual
LYLA R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WARREN RD STE 5A, COCKEYSVILLE, MD 21030-3367
(443) 595-7627
Mailing address
14123 SUNNYBROOK RD, PHOENIX, MD 21131-1337
(443) 248-1736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32081
MD
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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