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1063183614
ILITZA ALVAREZ-MORENO
JACKSON, MS
NPI
1063183614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 58200)
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
ILITZA ALVAREZ-MORENO LCSW-S
141 MILITARY DR
JACKSON, MS 39232-8877
Phone number: 601-405-8418
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Mailing Address
ILITZA ALVAREZ-MORENO LCSW-S
102 TWAIN TRL
CLINTON, MS 39056-7700
Phone number: 469-496-9901
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