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Individual
WENDY REYNOSO MOUR
Active
Individual
WENDY REYNOSO MOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
32223
CA
1041C0700X
Clinical Social Worker
Primary
LCSW68668
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/27/2008
Last updated
03/25/2016
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