Michelle Ashley Mata

NPI #1013340777 in Lake Forest, California

Provider Information

NPI Number: 1013340777
Entity Type: Individual
Name: Michelle Ashley Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 16, 2013
Last Updated: Jan 22, 2025

Practice Location

Address: 22942 EL TORO RD
City: Lake Forest
State: California
ZIP Code: 92630-4961
Phone: (510) 317-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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