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NPI Code Detail

MEDICARE: CARMEN V MARTINEZ LMSW

MEDICARE: CARMEN V MARTINEZ LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801082339MI

General Provider Information

NPI Number : 1497947907
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN V MARTINEZ LMSW
Provider Business Mailing Address
First Line : 5635 W FORT ST
Second Line :
City : DETROIT
State : MI
Zip : 48209-3154
Country : US
Telephone Number : 313-849-3920
Fax Number : 313-849-0824
Provider Business Practice Location Address
First Line : 5635 W FORT ST
Second Line :
City : DETROIT
State : MI
Zip : 48209-3154
Country : US
Telephone Number : 313-849-3920
Fax Number : 313-849-0824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2007
Last Update Date : 08/17/2007

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Directions to “ CARMEN V MARTINEZ LMSW” Practice Location

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