Individual
STEPHANIE JACKELINE NAVA MOCTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 17TH ST, BAKERSFIELD, CA 93301-4504
(661) 854-6590
Mailing address
7409 CANYON CLOVER DR, BAKERSFIELD, CA 93313-4313
(661) 932-5815
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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