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Individual

IRENE MADELYN MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4447 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
PO BOX 8826, FRESNO, CA 93747-8826
(559) 284-3483

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107774
CA

Other

Enumeration date
07/28/2022
Last updated
01/25/2024
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