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1962485912
TERRY MARTIN MARTINEZ
FORT SILL, OK
NPI
1962485912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 357)
Enumeration Date
2005-11-23
Last Update Date
2024-05-28
Business Address
TERRY MARTIN MARTINEZ LCSW
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-442-3084
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Mailing Address
TERRY MARTIN MARTINEZ LCSW
550 POPE AVE MUNSON ARMY HEALTH CENTER ATTN MCXN COD MS COTTON
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6562
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