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Individual

MR. MICHAEL MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., P.L.P.C.

Contact information

Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700
Mailing address
500 N GRAND BLVD, APT 510, SAINT LOUIS, MO 63103-1005
(314) 919-4700

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015006044
MO

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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