Individual
MICHAEL AUSTIN MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW, PPSC
Contact information
Practice address
1801 S POPLAR ST, SANTA ANA, CA 92704-4321
(657) 240-8529
Mailing address
1801 S POPLAR ST, SANTA ANA, CA 92704-4321
(657) 240-8529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
109446
CA
1041C0700X
Clinical Social Worker
109446
CA
1041S0200X
School Social Worker
Primary
109446
CA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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