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1235899642
MACY E MARTINEZ
GARDENA, CA
NPI
1235899642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
MACY E MARTINEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
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Mailing Address
MACY E MARTINEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number:
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