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Individual
MRS. SUSAN J MARTINEZ
Active
Individual
MRS. SUSAN J MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12007679
ASHA
—
Enumeration date
10/14/2008
Last updated
07/09/2019
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