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Individual
LUCINDA MARTINEZ
Active
Individual
LUCINDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60823070
WA
101Y00000X
Counselor
CG60823070
WA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098013
—
WA
Enumeration date
01/31/2018
Last updated
02/05/2019
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