| Judith A Martin L.c.s.w., P.c. | |
|
2385 Nw Cabrillo Ct Roseburg OR 97471-6041 | |
| (541) 957-9106 | |
| Not Available |
| Full Name | Judith A Martin L.c.s.w., P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2385 Nw Cabrillo Ct, Roseburg, Oregon |
| Authorized Official Name and Position | Judith A Martin (PRESIDENT) |
| Authorized Official Contact | 5419579106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith A Martin L.c.s.w., P.c. 2385 Nw Cabrillo Ct Roseburg OR 97471-6041 Ph: (541) 957-9106 | Judith A Martin L.c.s.w., P.c. 2385 Nw Cabrillo Ct Roseburg OR 97471-6041 Ph: (541) 957-9106 |
| NPI Number | 1255588455 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255588455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2328 (Oregon) | Primary |
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