Kimberly Ann Moret, LCSW
Social Worker, Clinical in Victorville, CA. Individual provider (NPI-1).
NPI number1609040997
StatusActive
Last updated in NPPESApr 30, 2020
Details
- NPI
- 1609040997
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Moret
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2008
- Certification date
- Apr 30, 2020
- Last updated
- Apr 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS25351 | CA | Yes |
Practice location
15437 Anacapa Rd Ste 3Victorville, CA 92392-2458
Phone 760-513-1550 · Fax 760-513-9743
Mailing address
15437 Anacapa Rd Ste 3Victorville, CA 92392-2458
Phone 760-513-1550 · Fax 760-513-9743
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