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Individual

DEBRA RENEE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
1526 BROOKHOLLOW DR STE 80, SANTA ANA, CA 92705-5421
(714) 424-5941
Mailing address
3921 HILLCREST DR APT 9, LOS ANGELES, CA 90008-1675

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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