Individual
ANGELA M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 N 500 E FL 3, LOGAN, UT 84341-2408
(435) 716-5790
Mailing address
1300 N 500 E FL 3, LOGAN, UT 84341-2408
(435) 716-5790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
02/17/2015
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