Individual
YADALIS Z MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
603 HADECO DR, LORDSBURG, NM 88045-1813
(575) 542-8447
(575) 542-8447
Mailing address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(575) 388-1447
(575) 388-1447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-12352
NM
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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