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Individual
MAXINE K MARTINEZ
Active
Individual
MAXINE K MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112475
STATE LICENSE
TX
Enumeration date
07/19/2011
Last updated
06/28/2016
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