Warren Douglas Martin LCSW

NPI 1083796718 - Social Worker - 1041C0700X

NPI Details
NPI 1083796718
Gender Male
Enumeration Date 10/20/2006
Last Updated 08/03/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2073 OLYMPIC STREET
SPRINGFIELD OR, 97477-3413, US
Phone (541) 682-3550
Fax (541) 682-3551
Business Location
2073 OLYMPIC STREET
SPRINGFIELD OR, 97477-3413, US
Phone (541) 682-3550
Fax (541) 682-3551
Toxanomy
Taxonomy Code 1041C0700X
License State Oregon
License Number 3913
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According to our database, Warren Douglas Martin LCSW NPI is 1083796718, taxonomy code is 1041C0700X and license number is 3913, license state is located at Oregon. Warren Douglas Martin LCSW physically located at 2073 Olympic Street, Springfield OR, 97477-3413. NPI Number Warren Douglas Martin LCSW has the Individual type.

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1083796718 NPI number is provided on an as is basis without warranty of any kind. 1083796718 is maintained by the National Plan & Provider Enumeration System. The contents of Warren Douglas Martin LCSW are for informational purposes only.