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1053962951
LORENZO MORA
BERKELEY, CA
NPI
1053962951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
LORENZO MORA
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
LORENZO MORA
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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