Individual
LIDICE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
717 PONCE DE LEON BLVD STE 324, CORAL GABLES, FL 33134-2050
(786) 343-6493
(305) 397-1271
Mailing address
11245 SW 227TH ST, MIAMI, FL 33170-3511
(786) 720-1027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
11/04/2020
Last updated
03/22/2024
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