Individual
AXEL ITZAMNA CANO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Mailing address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW132521
CA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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