MRS. Tabitha Danielle Martin, LCSW

NPI #1053909572 in Peoria, Illinois

Provider Information

NPI Number
1053909572
Entity Type
Individual
Name
MRS. Tabitha Danielle Martin, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 10, 2021
Last Updated
Jan 10, 2021

Practice Location

Address
10509 N MANCHESTER DR
City
Peoria
ZIP Code
61615-8891
Phone
(808) 321-1792

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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