MRS. Lisa R Martin, LCSW
NPI #1417002197 in Patrick Afb, Florida
Provider Information
- NPI Number
- 1417002197
- Entity Type
- Individual
- Name
- MRS. Lisa R Martin, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1370 PATRICK DR
- City
- Patrick Afb
- State
- Florida
- ZIP Code
- 32925-3606
- Phone
- (321) 494-8234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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