MS. Kellie Martin, LCSW

NPI #1770935116 in Central Islip, New York

Provider Information

NPI Number: 1770935116
Entity Type: Individual
Name: MS. Kellie Martin, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 11, 2016
Last Updated: May 15, 2024

Practice Location

Address: 10 HICKORY ST
City: Central Islip
State: New York
ZIP Code: 11722-4704
Phone: (631) 335-9573

Specialties & Taxonomy Codes

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

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