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Individual

KERYL MARIE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1021 HOPE ST APT 306, MANKATO, MN 56001-7058
(850) 279-6736
Mailing address
1021 HOPE ST APT 306, MANKATO, MN 56001-7058
(850) 279-6736

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1.2405312
OH
1041C0700X
Clinical Social Worker
11017
MS
1041C0700X
Clinical Social Worker
16819
SC
1041C0700X
Clinical Social Worker
35819
MN
1041C0700X
Clinical Social Worker
Primary
SW14528
FL

Other

Enumeration date
05/27/2022
Last updated
03/16/2026
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