Mya Yvonne Martin, LMSW

NPI #1659083905 in Fayetteville, New York

Provider Information

NPI Number: 1659083905
Entity Type: Individual
Name: Mya Yvonne Martin, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 7000 E GENESEE ST
City: Fayetteville
State: New York
ZIP Code: 13066-1131
Phone: (315) 760-4798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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