Individual
MADISON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N 1920 W, SUITE 26, MARRIOTT-SLATERVILLE, UT 84404
(801) 332-9586
Mailing address
350 N 1920 W, SUITE 26, MARRIOTT-SLATERVILLE, UT 84404
(801) 332-9586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/07/2020
Last updated
07/16/2026
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