| NPI | 1649419342 |
|---|---|
| Former Legal Business Name | WAYNE A MARTIN, LCSW, PC |
| Entity Type | Organization |
| Authorized Contact | WAYNE A MARTIN Licensed Clinical Social Worker 757-873-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904000158) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2012-04-24 |