Individual
JOSEPHINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1360 N LAKE SHORE DR APT 1705, CHICAGO, IL 60610-8462
(312) 285-3395
Mailing address
1360 N LAKE SHORE DR APT 1705, CHICAGO, IL 60610-8462
(312) 285-3395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.017412
IL
1041C0700X
Clinical Social Worker
149.017412
IL
Other
Enumeration date
12/28/2015
Last updated
05/05/2022
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