Individual
MATTHEW ADAM MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4716
(217) 766-9224
Mailing address
611 W ELM ST APT 102, URBANA, IL 61801-3351
(815) 919-5812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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