Laura Maria Martinez
Social Worker, Clinical in Troy, MI. Individual provider (NPI-1).
NPI number1114403136
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1114403136
- Entity type
- Individual (NPI-1)
- Name
- Laura Maria Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2018
- Last updated
- Jul 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801083798 | MI | Yes |
Practice location
1777 Axtell DrTroy, MI 48084-4404
Phone 247-709-5981
Mailing address
455 Fox Hills Dr NBloomfield Hills, MI 48304-1309
Phone 248-253-7372
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