Individual
MARKELLA MARIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-5573
(401) 724-8488
Mailing address
105 BACON ST, PAWTUCKET, RI 02860-5542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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