MRS. Tracey Leeann Martin, L.C.S.W.

NPI #1194932962 in Mokena, Illinois

Provider Information

NPI Number: 1194932962
Entity Type: Individual
Name: MRS. Tracey Leeann Martin, L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: May 17, 2007
Last Updated: May 21, 2018

Practice Location

Address: 9200 W 191ST ST
Address 2: UNIT 6 SUITE 1C
City: Mokena
State: Illinois
ZIP Code: 60448
Phone: (708) 690-8820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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