Provider Information for 1972143931
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CYNTHIA CARMEN MARTINEZ LCSW
Sex: Female
NPI: 1972143931
Last Updated: 2024-04-05
Certification Date: 2024-04-05
Certification Date: 2024-04-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972143931 | ||||||||
| Enumeration Date | 2020-01-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6005 YALE ST AMARILLO, TX 79109-6722 United States Phone: 806-681-8599 | Fax: | ||||||||
| Primary Practice Address | 6010 W AMARILLO BLVD AMARILLO, TX 79106-1990 United States Phone: 806-355-9703 | Fax: | ||||||||
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