| Wayne A Martin Lcsw Llc | |
|
708 Mobjack Pl Newport News VA 23606-1957 | |
| (757) 873-1958 | |
| (757) 873-2143 |
| Full Name | Wayne A Martin Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 708 Mobjack Pl, Newport News, Virginia |
| Authorized Official Name and Position | Wayne A Martin (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7578731958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne A Martin Lcsw Llc 708 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 873-1958 | Wayne A Martin Lcsw Llc 708 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 873-1958 |
| NPI Number | 1649419342 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649419342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904000158 (Virginia) | Primary |
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