Individual
DEBRA ALICIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
6333 ODANA ROAD, SUITE 20, MADISON, WI 53719-1170
(608) 270-2511
(608) 270-0467
Mailing address
11 RED MAPLE TRAIL, MADISON, WI 53717-1515
(608) 692-9827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
671-226
WI
Other
Enumeration date
04/12/2011
Last updated
04/13/2011
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