Individual
MRS. JENNY R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST., CRH 2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Mailing address
500 W FORT ST., CRH 2ND FLOOR, BOISE, ID 83702
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3804
HI
Other
Enumeration date
10/21/2008
Last updated
07/12/2024
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