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1215527122
GWENDOLYN L MARTIN
ROANOKE, VA
NPI
1215527122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012551)
Enumeration Date
2021-01-25
Last Update Date
2021-03-17
Business Address
GWENDOLYN L MARTIN LCSW
101 ELM AVE SE
ROANOKE, VA 24013-2222
Phone number: 540-995-9948
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Mailing Address
GWENDOLYN L MARTIN LCSW
213 S JEFFERSON ST STE 625
ROANOKE, VA 24011-1713
Phone number: 540-224-5516
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