Most Relevant Information
Provider Data
| NPI Number: | 1003392952 |
| Provider Name: | NICHELLE MARIE MARTIN MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P012711 |
Most Important Dates
| Enumeration Date: | 07/13/2018 |
| Last Updated: | 07/13/2018 |
Provider Practice Location
288 EAST ST STE 1001-F7
PITTSBORO
NC
273129711
Practice Location Phone/Fax
| Phone: | 9197048449 |
| Fax: | 9197048617 |
Provider Mailing Location
288 EAST ST STE 1001-F7
PITTSBORO
NC
273129711
Provider Mailing Phone/Fax
| Phone: | 9197048449 |
| Fax: | 9197048617 |