Kevin Alan Martinez, LISW

NPI #1225183908 in Fort Sumner, New Mexico

Provider Information

NPI Number: 1225183908
Entity Type: Individual
Name: Kevin Alan Martinez, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Jan 24, 2007
Last Updated: Nov 25, 2015

Practice Location

Address: 546 N 10TH STREET
City: Fort Sumner
State: New Mexico
ZIP Code: 88119-0349
Phone: (575) 355-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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