Provider Information for 1699141085
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TIFFANY MARTINEZ LCSW
Sex: Female
NPI: 1699141085
Last Updated: 2024-02-13
Certification Date: 2024-02-13
Certification Date: 2024-02-13
Details
| Name | Value | ||||||||||||||||
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| NPI | 1699141085 | ||||||||||||||||
| Enumeration Date | 2015-08-19 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 5980 S COOPER RD STE 3 CHANDLER, AZ 85249-5394 United States Phone: 480-705-7300 | Fax:800-530-9132 | ||||||||||||||||
| Primary Practice Address | 20185 E OCOTILLO RD STE 104 QUEEN CREEK, AZ 85142-7663 United States Phone: 480-704-3474 | Fax:888-221-2541 | ||||||||||||||||
| Secondary Practice Address(es) | 5980 S COOPER RD STE 1 | ||||||||||||||||
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