Provider Demographics
NPI:1851556641
Name:ALVARADO, MARTHA R (BSW)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:R
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 TERRACE HEDGE PL
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4548
Mailing Address - Country:US
Mailing Address - Phone:678-488-8604
Mailing Address - Fax:
Practice Address - Street 1:3349 TERRACE HEDGE PL
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4548
Practice Address - Country:US
Practice Address - Phone:678-488-8604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor