Keith H Martinez, LCSW, LCADC Valid NPI

Individual provider · Clinical Social Worker · Eatontown, NJ

NPI

1447596028

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05187400 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-12-30

Last updated

2013-03-27