Individual
AMBROSIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3720 W 26TH ST, CHICAGO, IL 60623-3824
(773) 277-2225
Mailing address
2725 W 22ND PL, CHICAGO, IL 60608-3507
(773) 577-6182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.007704
IL
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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