Individual
KRISTIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2615
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18711
AZ
1041C0700X
Clinical Social Worker
4208
HI
1041C0700X
Clinical Social Worker
Primary
6182
OK
Other
Enumeration date
08/21/2014
Last updated
09/25/2020
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