Individual
ERIN KATHARINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
224 W DL INGRAM, CANNON AIR FORCE BASE, NM 88101
(575) 781-1108
Mailing address
224 WEST DL INGRAM AVE, CANNON AIR FORCE BASE, NM 88101-5508
(575) 784-1108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-010234
NM
1041C0700X
Clinical Social Worker
011700
CT
1041C0700X
Clinical Social Worker
Primary
C-11287
NM
Other
Enumeration date
04/02/2019
Last updated
11/12/2024
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