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1821007154
SUSAN M MARTIN
DES MOINES, IA
NPI
1821007154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 03816)
Enumeration Date
2006-08-05
Last Update Date
2007-07-09
Business Address
-- SUSAN M MARTIN LISW
602 E GRAND AVE
DES MOINES, IA 50309-1924
Phone number: 515-283-1230
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Mailing Address
-- SUSAN M MARTIN LISW
301 W BURLINGTON AVE
FAIRFIELD, IA 52556-3242
Phone number: 641-472-1684
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