Individual
MAYRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4745 S 3200 W STE A, TAYLORSVILLE, UT 84129-2822
(019) 646-2148
(877) 497-4661
Mailing address
2621 S 3270 W, WEST VALLEY CITY, UT 84119-1119
(385) 261-2614
(877) 497-4661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9809996-3501
UT
Other
Enumeration date
05/26/2016
Last updated
09/09/2022
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