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1710342126
MASOOD MOGHADDAM
ATASCADERO, CA
NPI
1710342126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCSW91689)
Enumeration Date
2015-12-30
Last Update Date
2020-01-27
Business Address
MR. MASOOD MOGHADDAM MSW
5975 ENTRADA AVE UNIT 122
ATASCADERO, CA 93422-4223
Phone number: 415-902-1296
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Mailing Address
MR. MASOOD MOGHADDAM MSW
9435 JORNADA LN APT 6
ATASCADERO, CA 93422-5874
Phone number: 415-902-1296
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