Individual
SAMUEL C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1501 FRUITVALE AVE, OAKLAND, CA 94601
(510) 535-6200
(510) 535-4147
Mailing address
1501 FRUITVALE AVE, OAKLAND, CA 94601
(510) 535-6200
(510) 535-4167
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCSW20015
CA
Other
Enumeration date
04/26/2007
Last updated
08/26/2010
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