Lola Gabrielle Martin, LCSW

NPI #1104174648 in Laurelton, New York

Provider Information

NPI Number
1104174648
Entity Type
Individual
Name
Lola Gabrielle Martin, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 15, 2012
Last Updated
Jun 8, 2021

Practice Location

Address
13033 229TH ST
ZIP Code
11413-1838
Phone
(917) 531-1295

Specialties & Taxonomy Codes

Specialty
Social Worker
Social Worker - ClinicalClinical

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