Individual
ANGELA S. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
425 N TOPEKA ST, WICHITA, KS 67202-2413
(316) 263-6941
(316) 263-5259
Mailing address
8106 E GRAIL ST, WICHITA, KS 67207-3308
(316) 841-3721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7666
KS
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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