Individual
ELIZABETH MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12817 BRECKENRIDGE CT, FORT WORTH, TX 76177-2713
(682) 458-2423
Mailing address
12817 BRECKENRIDGE CT, FORT WORTH, TX 76177-2713
(210) 709-9272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106565
TX
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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