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Individual

STEPHANIE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(803) 931-2287
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12614
SC

Other

Enumeration date
09/24/2018
Last updated
08/12/2024
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