Most Relevant Information
Provider Data
NPI Number: | 1003362047 |
Provider Name: | SUE MORAVEC MSW |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | ASW83879 |
Most Important Dates
Enumeration Date: | 08/30/2016 |
Last Updated: | 10/26/2021 |
Provider Practice Location
43520 DIVISION ST
LANCASTER
CA
93535
Practice Location Phone/Fax
Phone: | 6612664783 |
Fax: | 6612661210 |
Provider Mailing Location
43520 DIVISION ST
LANCASTER
CA
935354089
Provider Mailing Phone/Fax
Phone: | 6612664783 |
Fax: | 6612661210 |