| Kimberly Moret Licensed Clinical Social Worker, Pc | |
|
14021 Amargosa Rd Ste 100 Victorville CA 92392-6404 | |
| (760) 513-1550 | |
| (760) 513-9743 |
| Full Name | Kimberly Moret Licensed Clinical Social Worker, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14021 Amargosa Rd Ste 100, Victorville, California |
| Authorized Official Name and Position | Kimberly A Moret (CEO) |
| Authorized Official Contact | 4422946934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Moret Licensed Clinical Social Worker, Pc 14021 Amargosa Rd Ste 100 Victorville CA 92392-6404 Ph: (760) 513-1550 | Kimberly Moret Licensed Clinical Social Worker, Pc 14021 Amargosa Rd Ste 100 Victorville CA 92392-6404 Ph: (760) 513-1550 |
| NPI Number | 1083296263 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083296263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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