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Individual

GRACE MARIE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2M56 CALLE 56, METROPOLIS CAROLINA, CAROLINA, PR 00987
(787) 461-7877
Mailing address
2M56 CALLE 56, METROPOLIS CAROLINA, CAROLINA, PR 00987

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13566
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13566
LINCE SOCIAL WORKER
PR
Enumeration date
06/19/2017
Last updated
06/19/2017
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