Organization
MARY M. MARTINEAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M MARTINEAU LCSW (SOCIAL WORKER)
(801) 425-4187
Entity
Organization
Contact information
Practice address
335 E 2ND AVE APT A, SALT LAKE CITY, UT 84103-2626
(801) 425-4187
Mailing address
335 E 2ND AVE APT A, SALT LAKE CITY, UT 84103-2626
(801) 425-4187
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
8394257-3501
UT
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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