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Individual

GISEL TREVINO-MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 E MISSOURI AVE STE 120, PHOENIX, AZ 85014-2372
(480) 930-0390
Mailing address
1300 E MISSOURI AVE STE 120, PHOENIX, AZ 85014-2372
(480) 930-0390

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-18270
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001311
AZ
Enumeration date
01/15/2020
Last updated
12/03/2022
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  • EDI platform