Individual
LETICIA MARTINEZ MATEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1700 N ILLINOIS ST, INDIANAPOLIS, IN 46202-1316
(317) 554-5700
(317) 931-5113
Mailing address
12 WINDRIDGE ST, ANDERSON, IN 46011-1227
(323) 506-7798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010306A
IN
Other
Enumeration date
06/21/2022
Last updated
06/10/2024
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