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1013340777
MICHELLE ASHLEY MATA
LAKE FOREST, CA
NPI
1013340777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA ASW126945)
Enumeration Date
2013-08-16
Last Update Date
2025-01-22
Business Address
MICHELLE ASHLEY MATA
22942 EL TORO RD
LAKE FOREST, CA 92630-4961
Phone number: 510-317-1444
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Mailing Address
MICHELLE ASHLEY MATA
22942 EL TORO RD
LAKE FOREST, CA 92630-4961
Phone number: 510-317-1444
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