Individual
MRS. MARY JANE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 ISOM ROAD, SUITE 270, SAN ANTONIO, TX 78216
(210) 308-0444
(210) 308-7099
Mailing address
PO BOX 461165, SAN ANTONIO, TX 78246-1165
(210) 308-0444
(210) 308-7099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S00667
TX
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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