Individual
DANIEL JACOB MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1165 W BRANDONWOOD DR, MURRAY, UT 84123-7910
(801) 706-6914
Mailing address
1165 W BRANDONWOOD DR, MURRAY, UT 84123-7910
(801) 706-6914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11800940-3502
UT
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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