Individual
TIFFANY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20185 E OCOTILLO RD STE 104, QUEEN CREEK, AZ 85142-7663
(480) 704-3474
(888) 221-2541
Mailing address
5980 S COOPER RD STE 3, CHANDLER, AZ 85249-5394
(480) 705-7300
(800) 530-9132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ASW74762
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-20687
AZ
1041C0700X
Clinical Social Worker
TPSW3455
FL
Other
Enumeration date
08/19/2015
Last updated
02/13/2024
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