Individual
JEREMY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
2712 MIDDLEBURG DR STE 207B, COLUMBIA, SC 29204-2445
(803) 274-3669
Mailing address
2712 MIDDLEBURG DR STE 207B, COLUMBIA, SC 29204-2445
(803) 274-3669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11213
SC
1041C0700X
Clinical Social Worker
Primary
15493
SC
Other
Enumeration date
05/18/2021
Last updated
03/07/2023
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