MR. Charles Harold Martin, LCSW-BACS

NPI #1457674368 in Jackson, Louisiana

Provider Information

NPI Number: 1457674368
Entity Type: Individual
Name: MR. Charles Harold Martin, LCSW-BACS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-BACS
Enumeration Date: Mar 5, 2010
Last Updated: Mar 5, 2010

Practice Location

Address: 4739 HWY 10
City: Jackson
State: Louisiana
ZIP Code: 70748
Phone: (225) 634-0094

Specialties & Taxonomy Codes

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

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