Doctor Name: | MRS. JULIE ANNETTE MARTINEZ-AGUILAR |
NPI Number: | 1144545138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CP00943355 |
Business Practice Address: | 725 N Pike St Grafton, WV - 263541270 |
Business Phone Number: | 3042654909 |
Business Fax Number: | 3042654915 |
Mailing Address: | Po Box 35, NEWBURG |
State: | WV |
Postal Code: | 264100035 |
Phone Number: | 3048922828 |
Fax Number: | 3048922927 |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CP00943355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |