Individual
MR. RAFAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6726 N 15TH PL, PHOENIX, AZ 85014-1134
(602) 561-7062
(602) 294-0408
Mailing address
6726 N 15TH PL, PHOENIX, AZ 85014-1134
(602) 561-7062
(602) 294-0408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6201001
AZ
Other
Enumeration date
09/20/2006
Last updated
10/21/2008
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