Richard Wayne Martin LCSW, LMFT,LPC,CADC

NPI 1679519086 - Social Worker - 1041C0700X

NPI Details
NPI 1679519086
Gender Male
Enumeration Date 06/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
22 NORTH PELHAM ST. BOX 622
RHINELANDER WI, 54501-0622, US
Phone (715) 365-6696
Fax (715) 365-6768
Business Location
6460 LOGGING CAMP RD
RHINELANDER WI, 54501-8102, US
Phone (715) 282-8655
Fax (715) 365-6768
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 4249-123
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According to our database, Richard Wayne Martin LCSW, LMFT,LPC,CADC NPI is 1679519086, taxonomy code is 1041C0700X and license number is 4249-123, license state is located at Wisconsin. Richard Wayne Martin LCSW, LMFT,LPC,CADC physically located at 22 North Pelham St. Box 622, Rhinelander WI, 54501-0622. NPI Number Richard Wayne Martin LCSW, LMFT,LPC,CADC has the Individual type.

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1679519086 NPI number is provided on an as is basis without warranty of any kind. 1679519086 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Wayne Martin LCSW, LMFT,LPC,CADC are for informational purposes only.