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Individual

CARMEN REGINA MARTINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3150 18TH ST, SAN FRANCISCO, CA 94110-2074
(650) 516-7107
Mailing address
719 48TH AVE, SAN FRANCISCO, CA 94121-3209
(608) 217-1689

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
107280
CA
106H00000X
Marriage & Family Therapist
107280
CA

Other

Enumeration date
05/07/2020
Last updated
05/28/2020
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