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Angel Lynn Martin, MSW, LCSW

Social Worker, Clinical in Wright Patterson Afb, OH. Individual provider (NPI-1).

NPI number1275977936
StatusActive
Last updated in NPPESApr 4, 2018

Details

NPI
1275977936
Entity type
Individual (NPI-1)
Name
Ms. Angel Lynn Martin
Credential
MSW, LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2013
Last updated
Apr 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34006309AINYes

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529

Phone 937-257-9968

Mailing address

88th Mdos/Sgomo
4881 Sugar Maple Drive
Wright-Patterson, Afb, OH 45433

Phone 937-257-9968 · Fax 937-257-0450

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