Individual
MELISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
370 E SOUTH TEMPLE, SALT LAKE CITY, UT 84111-1206
(801) 631-2051
Mailing address
1778 STONE RIDGE DR, BOUNTIFUL, UT 84010-1085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12571216-3501
UT
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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