Individual
ISAAC BRADLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2407 ELLIOT AVE, MINNEAPOLIS, MN 55404-3858
(319) 541-6436
Mailing address
2407 ELLIOT AVE, MINNEAPOLIS, MN 55404-3858
(319) 541-6436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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