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Individual

MS. JESSICA MICHELLE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S, LCSW

Contact information

Practice address
1395 W 10TH ST, CLEVELAND, OH 44113-1292
(312) 342-5033
Mailing address
4535 WILLOWBROOK DR, MENTOR, OH 44060-1037
(312) 342-5033

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
149.021906
IL
1041C0700X
Clinical Social Worker
149.021906
IL
1041C0700X
Clinical Social Worker
Primary
I.2203928-SUPV
OH
1041C0700X
Clinical Social Worker

Other

Enumeration date
01/17/2020
Last updated
09/18/2024
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