Organization
ISRAEL MARTINEZ, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL MARTINEZ JR. LCSW (MANAGER)
(973) 866-5120
Entity
Organization
Contact information
Practice address
187 GROVE ST, MONTCLAIR, NJ 07042-4214
(973) 866-5120
Mailing address
187 GROVE ST, MONTCLAIR, NJ 07042-4214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05502600
NJ
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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