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Individual
ILIANA MATAMOROS CASTRO
Active
Individual
ILIANA MATAMOROS CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW90236
CA
1041C0700X
Clinical Social Worker
Primary
114191
CA
Other
Enumeration date
12/18/2013
Last updated
03/21/2023
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