Individual
MRS. CHARLENE GAIL MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
200 E WILCOX DR, SIERRA VISTA, AZ 85635-2526
(520) 459-8258
Mailing address
7116 E LAGUNA AZUL AVE, MESA, AZ 85209-4818
(310) 339-4295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8200
AZ
Other
Enumeration date
05/17/2012
Last updated
03/31/2022
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