Individual
MIRELLA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16151 WEBER RD STE LL10, CREST HILL, IL 60403-0863
(815) 782-8263
Mailing address
1428 PHOENIX LN, JOLIET, IL 60431-8415
(219) 256-0390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109636
IL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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