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Contact Information

MARY M MARTINEAU LCSW LLC
1355 S 1100 E
SALT LAKE CITY, UT84105
 Phone: 801-425-4187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MARY M MARTINEAU LCSW LLC

NPI # 1770039109
LBN Legal business name MARY M MARTINEAU LCSW LLC
Authorized official MARY MARTINEAU - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2016
Last updated 08/26/2016 - About 10 years ago
Identifiers
UT License # 8394257-3501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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