Individual
MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
US DEPT OF VETERAN AFFAIRS 215 NORTH MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
US DEPT OF VETERAN AFFAIRS 215 NORTH MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135719
VT
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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