Masood Moghaddam

NPI #1114553344 in Atascadero, California

Provider Information

NPI Number: 1114553344
Entity Type: Organization
Organization Name: Masood Moghaddam
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 19, 2020
Last Updated: Mar 19, 2020

Practice Location

Address: 5975 ENTRADA AVE
City: Atascadero
State: California
ZIP Code: 93422-4223
Phone: (805) 703-3540

Authorized Official

Name: MASOOD MOGHADDAM
Title: OWNER
Phone: (805) 703-3540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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