Individual
MR. NICHOLAS A MARTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-21879
Contact information
Practice address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6008
(520) 550-6033
Mailing address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6008
(520) 550-6033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LMSW-21879
AZ
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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