Individual
KARLA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 282-3731
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 282-3731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7980
KS
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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