JANICE M MARTIN

PORT JEFFERSON, NY
NPI1336205350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R041079-1)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
-- JANICE M MARTIN LCSW
407 E MAIN ST
PORT JEFFERSON, NY 11777-1866
Phone number: 631-474-2934
Mailing Address
-- JANICE M MARTIN LCSW
PO BOX 433
PORT JEFFERSON, NY 11777-0433
Phone number: 631-474-2934