BLAKE MICHAEL MORENO

CHINO HILLS, CA
NPI1174956650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  115717)
Enumeration Date2013-08-19
Last Update Date2023-07-18
Business Address
Mr. BLAKE MICHAEL MORENO
17831 AUTRY CT
CHINO HILLS, CA 91709-3281
Phone number: 951-444-5140
Mailing Address
Mr. BLAKE MICHAEL MORENO
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-573-9748
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