Martin, Tracie Arlene
Martin, Tracie Arlene is an sole proprietor health care provider with primary practice located at 1090 Arnold Dr , Little Rock Afb AR 72099-4933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Tracie Arlene can be contacted via phone (507) 987-3080.Contact Information
Primary practice address
1090 Arnold Dr
Little Rock Afb AR 72099-4933
Phone: (507) 987-3080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7774-C | Arkansas |
Profile Details
| NPI number | 1750053492 |
|---|---|
| LBN Legal business name | Martin, Tracie Arlene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2021 |
| Last updated | Aug 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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