Individual
KRISTY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(765) 506-1908
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009353
NC
Other
Enumeration date
03/03/2015
Last updated
03/04/2024
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