Individual
THERESA JEAN MARTINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-4857
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 496-4857
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6802086448
MI
Other
Enumeration date
07/12/2013
Last updated
03/16/2021
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