Individual
MR. LEO MICHAEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1150 STATE HIGHWAY 248, STE 202, BRANSON, MO 65616-3758
(417) 348-8494
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 348-8494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012021499
MO
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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