Individual
MISS BREEYANNA CHEYENNE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4500
Mailing address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW91613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244912
—
CA
Enumeration date
12/23/2019
Last updated
12/23/2019
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