Individual
MARIBEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
865 ANTHONY DR, ANTHONY, NM 88021-9354
(575) 882-5858
(575) 882-3063
Mailing address
865 ANTHONY DR, ANTHONY, NM 88021-9354
(575) 882-5858
(575) 882-3063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-05211
NM
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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