Tiffany L Martin, LICSW
NPI #1467226332 in Pascoag, Rhode Island
Provider Information
- NPI Number
- 1467226332
- Entity Type
- Individual
- Name
- Tiffany L Martin, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 13, 2023
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 2090 WALLUM LAKE RD
- City
- Pascoag
- State
- Rhode Island
- ZIP Code
- 02859-1813
- Phone
- (401) 338-2741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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