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Individual
JENNIFER ORTA MARTINEZ
Active
Individual
JENNIFER ORTA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QTT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APPLIED
WI
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
04/07/2021
Last updated
06/26/2023
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