Individual
MRS. EVA TERESE MARTINEZ-KLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-8779
Mailing address
6035 TUCKERMAN LN, COLORADO SPRINGS, CO 80918-1401
(719) 598-4221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010248
IL
Other
Enumeration date
11/13/2008
Last updated
10/04/2023
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