Individual
MS. JAMIE L MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1335 GUSDORF ROAD BLDG E, TAOS, NM 87571
(575) 758-0670
(575) 751-3557
Mailing address
PO BOX 788, ESPANOLA, NM 87532
(505) 927-8397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-08415
NM
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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