Individual
CHRISTINE M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
433 W MARKET ST, SUITE 7, WEST CHESTER, PA 19382-2818
(484) 919-6428
Mailing address
433 W MARKET ST, SUITE 7, WEST CHESTER, PA 19382-2818
(484) 919-6428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126276
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW126276
PA STATE SOCIAL WORK LICENSE
PA
Enumeration date
02/20/2014
Last updated
04/04/2014
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