Individual
CANEISHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
3500 WESTGATE DR STE 101, DURHAM, NC 27707-2568
(919) 402-8738
Mailing address
4304 SAINT JAMES CHURCH RD APT G, RALEIGH, NC 27604-4366
(716) 578-2875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012299
NC
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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