Jessica Anne Martin, MSW, LSWAIC

NPI #1992336556 in Spokane Valley, Washington

Provider Information

NPI Number: 1992336556
Entity Type: Individual
Name: Jessica Anne Martin, MSW, LSWAIC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LSWAIC
Enumeration Date: Jan 31, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 12112 E ALKI AVE APT 11
City: Spokane Valley
State: Washington
ZIP Code: 99206-5189
Phone: (509) 714-2143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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