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1649531757
ANGELA ANTOINETTE MORENO
MODESTO, CA
NPI
1649531757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW 30552)
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
Ms. ANGELA ANTOINETTE MORENO ASW
2215 BLUE GUM AVE
MODESTO, CA 95358-1052
Phone number: 209-525-5401
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Mailing Address
Ms. ANGELA ANTOINETTE MORENO ASW
2215 BLUE GUM AVE
MODESTO, CA 95358-1052
Phone number: 209-525-5401
Copy
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