MR. Keith Stanley Martin, LCSW

NPI #1003027046 in Madera, California

Provider Information

NPI Number
1003027046
Entity Type
Individual
Name
MR. Keith Stanley Martin, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
9300 VALLEY CHILDRENS PL
City
Madera
ZIP Code
93638-8761
Phone
(558) 353-3000

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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