| Mr Blake Michael Moreno, | |
|
17831 Autry Ct, Chino Hills, CA 91709-3281 | |
| (951) 444-5140 | |
| Not Available |
| Full Name | Mr Blake Michael Moreno |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 17831 Autry Ct, Chino Hills, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174956650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 115717 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Michael Moreno, 762 Cypress St, San Dimas, CA 91773-3505 Ph: (909) 573-9748 | Mr Blake Michael Moreno, 17831 Autry Ct, Chino Hills, CA 91709-3281 Ph: (951) 444-5140 |
Heather Custodio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13462 Montserrat Ct, Chino Hills, CA 91709 Phone: 626-823-7140 | |
Noreen Kopaczewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-993-1106 | |
Mr. David John Palmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-993-1106 | |
Ashley Vidaurri, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Deer Haven Dr, Chino Hills, CA 91709 Phone: 909-262-1752 | |
Mariah Jollene Rosauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3624 Margaret Fowler Ct, Chino Hills, CA 91709 Phone: 909-740-3133 Fax: 909-306-5427 | |
Linda Mei Lin Rohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15665 Ladera Vista Dr, Chino Hills, CA 91709 Phone: 714-873-8023 |