Individual
LOUISE VIRGINIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(978) 314-4412
Mailing address
110 BOSTON ST, SALEM, MA 01970-1402
(978) 314-4412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
08/05/2021
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