Individual
BRENDA A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
101 LENA DR, ROGERSVILLE, TN 37857-2951
(423) 272-9239
(423) 272-1803
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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