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1487639852
ETTA LOUISE MARTIN
SHERMAN OAKS, CA
NPI
1487639852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS21526)
Enumeration Date
2005-12-08
Last Update Date
2007-07-08
Business Address
MS. ETTA LOUISE MARTIN LCSW
4911 VAN NUYS BLVD SUITE 102
SHERMAN OAKS, CA 91403-1716
Phone number: 818-817-3248
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Mailing Address
MS. ETTA LOUISE MARTIN LCSW
4201 VENTURA CANYON AVE
SHERMAN OAKS, CA 91423-4329
Phone number: 818-789-8784
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