Individual
KIMBER JOY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1630 KLONDIKE RD, WEST LAFAYETTE, IN 47906-4801
(765) 491-0566
Mailing address
1630 KLONDIKE RD, WEST LAFAYETTE, IN 47906-4801
(765) 491-0566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007727A
IN
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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