Individual
MS. PATRICIA A. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1331 GUSDORF ROAD, TAOS, NM 87571
(505) 758-9412
(505) 751-4688
Mailing address
7119 NDCBU, TAOS, NM 87571-6269
(505) 758-1129
(505) 751-4688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B1711
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1711
BACHELOR SOCIAL WORK
NM
Enumeration date
03/12/2007
Last updated
07/08/2007
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