Individual
LEE W. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 W NIFONG BLVD, COLUMBIA, MO 65203-5615
(573) 884-1130
(573) 884-5936
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2008011358
MO
1041C0700X
Clinical Social Worker
2008011358
MO
Other
Enumeration date
07/07/2008
Last updated
03/02/2018
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