Individual
ANA ISABEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3526
Mailing address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15591
ME
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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