Individual
LAUREN MICHELLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, RPT
Contact information
Practice address
2294 WHITE ASH CT, FLORISSANT, MO 63031-2844
(314) 591-5996
Mailing address
2294 WHITE ASH CT, FLORISSANT, MO 63031-2844
(314) 591-5996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017000033
MO
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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