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1326244807
MICKEY MOOD
SANTA CRUZ, CA
NPI
1326244807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW23954)
Enumeration Date
2007-06-22
Last Update Date
2018-10-30
Business Address
MICKEY MOOD LCSW
104 WALNUT AVE STE 208
SANTA CRUZ, CA 95060-3929
Phone number: 831-423-9444
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Mailing Address
MICKEY MOOD LCSW
1889 REDWOOD DR
APTOS, CA 95003-2506
Phone number: 831-688-4323
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