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1710241310
MICHELLE MORENO
MODESTO, CA
NPI
1710241310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28058)
Enumeration Date
2012-06-28
Last Update Date
2018-01-23
Business Address
Ms. MICHELLE MORENO LCSW
615 13TH ST SUITE B
MODESTO, CA 95354-2456
Phone number: 209-222-3396
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Mailing Address
Ms. MICHELLE MORENO LCSW
615 13TH ST SUITE B
MODESTO, CA 95354-2456
Phone number: 209-222-3396
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