Individual
MISS ADALIZETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2520 WATERMARK TER UNIT 309, ELGIN, IL 60124-3013
(224) 409-5478
Mailing address
847 S RANDALL RD # 360, ELGIN, IL 60123-3002
(877) 360-8360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020898
IL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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