Individual
JOAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4820 NE HAZEL DELL AVE APT 1212, VANCOUVER, WA 98663-3811
(954) 562-1306
Mailing address
PO BOX 13, VANCOUVER, WA 98666-0013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW040295
NY
1041C0700X
Clinical Social Worker
Primary
LW60848587
WA
1041C0700X
Clinical Social Worker
SW3964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162537
—
WA
Enumeration date
04/18/2007
Last updated
11/28/2024
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