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Individual

CAROLINA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4948 BIG PINE DR, JACKSONVILLE, FL 32218-9338
(954) 557-1408
Mailing address
4948 BIG PINE DR, JACKSONVILLE, FL 32218-9338
(954) 557-1408

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1709077231
FL
Enumeration date
09/19/2022
Last updated
04/27/2026
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