Individual
MR. JOAQUIN JR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
23 REED DR, WETHERSFIELD, CT 06109-1142
(860) 912-9181
Mailing address
23 REED DR, WETHERSFIELD, CT 06109-1142
(860) 912-9181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A-4059-SA
CT
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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