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ROXANNE K MARTIR

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063727097

Individual Registrant:
 ROXANNE K MARTIR 
Gender: F
Sole Proprietor

Location and contact information for practice:
26891 SPRING ST  SAN JUAN CAPO, CA 92675-2692 US
Tel: 949-496-2931  Fax: --

Contact information for business:
26891 SPRING ST  SAN JUAN CAPO, CA 92675-2692 US
Tel: --  Fax: --

Registration Information:
NPI: 1063727097
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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