MARK MARTIN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1356316392

Practice Address

750 N FREEDOM BLVD
Provo, UT 84601

Phone: (801) 373-4760

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 11448098-3501 (UT)

Frequently Asked Questions

NPI 1356316392 is the National Provider Identifier for MARK MARTIN, LCSW, a Social Worker - Clinical provider located in Provo, UT. This NPI was enumerated on February 22, 2006.
MARK MARTIN, LCSW practices at 750 N FREEDOM BLVD, Provo, UT 84601.

Quick Facts

NPI
1356316392
Type
Individual
Enumerated
Feb 22, 2006
Last Updated
Jan 3, 2020

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