Individual
MRS. JANICE MADDISON MARTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51 E 800 N, SPANISH FORK, UT 84660-1210
(435) 314-9623
Mailing address
1571 S 400 E, OREM, UT 84058-8304
(801) 885-0903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
10493826-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-2224657
—
UT
Enumeration date
01/13/2014
Last updated
02/01/2024
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