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Individual

MRS. LINEXY MARIE MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3904 FLOWERING ORCHID LN, KISSIMMEE, FL 34744
(939) 644-2462
Mailing address
3904 FLOWERING ORCHID LN, KISSIMMEE, FL 34744-9193
(939) 644-2462

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL
103TC1900X
Counseling Psychologist
PR
222Q00000X
Developmental Therapist
Primary
FL
252Y00000X
Early Intervention Provider Agency
FL

Other

Enumeration date
04/26/2011
Last updated
11/04/2020
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