Individual
GAIL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3585 TIMBERGLEN RD, DALLAS, TX 75287-3424
(972) 662-5112
(817) 887-5540
Mailing address
8409 SONNET DR, MCKINNEY, TX 75071-4723
(972) 662-5112
(817) 887-5540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101185003
—
TX
01
—
61074
MEDICARE INDIVIDUAL NUMBE
TX
Enumeration date
10/19/2007
Last updated
02/17/2009
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