Individual
MADISON MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 N 2000 W STE 6, FARR WEST, UT 84404
(801) 605-3086
Mailing address
1812 N 2000 W STE 6, FARR WEST, UT 84404-8060
(801) 605-3086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/07/2020
Last updated
07/17/2025
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