Individual
JAIME PATRICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 FERRY ST, RUSSELL, KY 41169-1371
(606) 388-2898
Mailing address
314 FERRY ST, RUSSELL, KY 41169-1371
(606) 388-2898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256556
KY
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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