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Individual

JACOB MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7770
Mailing address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7770

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/17/2024
Last updated
08/26/2025
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