Gail Martha Martin | Allegan, MI • PECOS Search

Gail Martha Martin

Social Worker

Behavioral Health & Social Service Providers

3285 122nd Ave, Allegan, MI 49010-9511

(269) 673-6617 (269) 342-5527

PECOS Enrollment

Based on the most recent information from CMS, provider Gail Martha Martin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1659313641
Provider Type
Individual
Full Name
Martin, Gail Martha
Title
Ms.

Credential
LMSW
Gender
Female
Enumeration Date
6/12/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3285 122nd Ave, Allegan, MI 49010-9511

Unlisted Fax

Mailing Location

2910 Duke St, Kalamazoo, MI 49008-2419

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801087699 Michigan