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Individual

SUZANNE MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 SACRAMENTO ST, RIO VISTA, CA 94571-1848
(707) 374-5243
Mailing address
125 SACRAMENTO ST, RIO VISTA, CA 94571-1848
(707) 260-2461

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFTI # 72016
CA

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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