Individual
REAGAN EARL MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7647-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195455795
—
AR
Enumeration date
01/24/2013
Last updated
11/02/2016
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