Individual
LEIDY M MARTINEZ BODRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
1126 4TH AVE N, KENT, WA 98032
(253) 204-6200
Mailing address
1126 4TH AVE N, KENT, WA 98032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61400894
WA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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