Individual
SARA NICOLE MORAN-GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
29850 N VARNUM RD, SAN TAN VALLEY, AZ 85143-7064
(909) 772-3997
Mailing address
841 E ANASTASIA ST, SAN TAN VALLEY, AZ 85140-5790
(909) 772-3997
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
AZ
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-22657
ARIZONA BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
04/08/2019
Last updated
06/12/2025
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