Individual
TERRY MARTIN MARTINEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-3084
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER ATTN MCXN COD MS COTTON, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
357
WY
Other
Enumeration date
11/23/2005
Last updated
05/28/2024
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