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Individual

ANDEE DAWN MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
995 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4500
(619) 262-1960
(619) 262-2420
Mailing address
5721 LAKE MURRAY BLVD APT 15, LA MESA, CA 91942-1908
(619) 840-3041
(800) 441-0839

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116780
CA

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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