Individual
DAVINA MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5076 E FORT LOWELL RD, TUCSON, AZ 85712-1208
(510) 725-5004
Mailing address
5076 E FORT LOWELL RD, TUCSON, AZ 85712-1208
(510) 725-5004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
AZ
Enumeration date
12/17/2020
Last updated
12/17/2020
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