Provider Information for 1891709010
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ALDEMAR MARTINEZ Sr. LCSW #86412
Sex: Male
NPI: 1891709010
Last Updated: 2021-02-26
Certification Date: 2021-02-26
Certification Date: 2021-02-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891709010 | ||||||||||||
| Enumeration Date | 2006-07-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 250 BON AIR RD GREENBRAE, CA 94904-1702 United States Phone: 415-507-2950 | Fax: | ||||||||||||
| Primary Practice Address | 250 BON AIR RD GREENBRAE, CA 94904-1702 United States Phone: 415-473-2950 | Fax: | ||||||||||||
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