Individual
ALYSSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2200
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
104829
TX
1041C0700X
Clinical Social Worker
Primary
34011172A
IN
Other
Enumeration date
05/12/2023
Last updated
07/16/2024
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