LISA R MARTIN

PATRICK AFB, FL
NPI1417002197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW2979)
Enumeration Date2007-01-24
Last Update Date2007-07-09
Business Address
Mrs. LISA R MARTIN LCSW
1370 PATRICK DR
PATRICK AFB, FL 32925-3606
Phone number: 321-494-8234
Mailing Address
Mrs. LISA R MARTIN LCSW
455 INDIAN CREEK DR
COCOA BEACH, FL 32931-2833
Phone number: 321-784-3532
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