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1164492583
KENNETH J MARTINEZ
SALT LAKE CITY, UT
NPI
1164492583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1406413501)
Enumeration Date
2006-01-26
Last Update Date
2022-05-10
Business Address
KENNETH J MARTINEZ LCSW
1020 S MAIN ST
SALT LAKE CITY, UT 84101-3176
Phone number: 801-539-7000
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Mailing Address
KENNETH J MARTINEZ LCSW
1020 S MAIN ST SUITE 100
SALT LAKE CITY, UT 84101-3176
Phone number: 801-539-7035
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