MR. Blake Michael Moreno
NPI #1174956650 in Chino Hills, California
Provider Information
- NPI Number
- 1174956650
- Entity Type
- Individual
- Name
- MR. Blake Michael Moreno
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 19, 2013
- Last Updated
- Jul 18, 2023
Practice Location
- Address
- 17831 AUTRY CT
- City
- Chino Hills
- State
- California
- ZIP Code
- 91709-3281
- Phone
- (951) 444-5140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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