Individual
KIMBERLY LEA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 899-7900
Mailing address
5347 CALL PL SE, WASHINGTON, DC 20019-6340
(202) 997-9010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081289
DC
1041S0200X
School Social Worker
LC50081289
DC
Other
Enumeration date
09/21/2017
Last updated
08/16/2024
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