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Individual

CARLOS ROMUALDO MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
548 MAIN ST, SUITE 1, SOUTH AMBOY, NJ 08879-1262
(732) 316-2391
(732) 316-2348
Mailing address
548 MAIN ST, SOUTH AMBOY, NJ 08879-1262
(732) 316-2391
(732) 316-2348

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00027400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04649800
NJ
106H00000X
Marriage & Family Therapist
37FI00156200
NJ

Other

Enumeration date
04/17/2007
Last updated
10/24/2014
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