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Individual
MIGUEL ANGEL MORENO LOPEZ
Active
Individual
MIGUEL ANGEL MORENO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, NCICS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
95128
CA
1041C0700X
Clinical Social Worker
Primary
121978
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/22/2016
Last updated
04/10/2024
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