Herman Lonzo Martin LCSW

NPI 1336117209 - Social Worker - 1041C0700X

NPI Details
NPI 1336117209
Gender Male
Enumeration Date 03/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2817 REILLY ROAD MCXC COD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC, 28310, US
Phone (910) 907-8922
Fax (910) 907-6069
Business Location
2817 REILLY ROAD MCXC COD CREDENTIALS
WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC, 28310, US
Phone (910) 907-8922
Fax (910) 907-6069
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number LCSW281
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According to our database, Mr. Herman Lonzo Martin LCSW NPI is 1336117209, taxonomy code is 1041C0700X and license number is LCSW281, license state is located at North Carolina. Herman Lonzo Martin LCSW physically located at 2817 Reilly Road Mcxc Cod, Fort Bragg NC, 28310. NPI Number Herman Lonzo Martin LCSW has the Individual type.

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1336117209 NPI number is provided on an as is basis without warranty of any kind. 1336117209 is maintained by the National Plan & Provider Enumeration System. The contents of Herman Lonzo Martin LCSW are for informational purposes only.