Individual
MS. KELLY LISET MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2345 SAND LAKE RD STE 200, ORLANDO, FL 32809-9140
(407) 851-5121
Mailing address
118 SIENA GARDENS CIR, GOTHA, FL 34734-5000
(407) 247-4243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW7969
FL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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