Kimberly Martin, LCSW LISW

NPI #1598188500 in Moline, Illinois

Provider Information

NPI Number: 1598188500
Entity Type: Individual
Name: Kimberly Martin, LCSW LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW LISW
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 106 19TH AVE
Address 2: SUITE 101
City: Moline
State: Illinois
ZIP Code: 61265-3700
Phone: (309) 779-7600

Specialties & Taxonomy Codes

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

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