FRED J MARTINEZ

ROCKFORD, IL
NPI1245319003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-008217)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
-- FRED J MARTINEZ LCSW
2823 GLENWOOD AVE
ROCKFORD, IL 61101-3542
Phone number: 815-968-5342
Mailing Address
-- FRED J MARTINEZ LCSW
2823 GLENWOOD AVE
ROCKFORD, IL 61101-3542
Phone number: 815-968-5342
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