Individual
KATHLEEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
3913 MAPLE GROVE DR, MADISON, WI 53719-1842
(608) 284-8460
Mailing address
3913 MAPLE GROVE DR, MADISON, WI 53719-1842
(608) 284-8460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
132770-121
WI
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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