MEDICARE: VALERIA MORADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-20956	AZ
2	1041C0700X	Clinical Social Worker	64558	TX

General Provider Information

NPI Number	:	1093357303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA MORADO

Provider Business Mailing Address
First Line	:	8110 S HOUGHTON RD STE 158-583
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-4703
Country	:	US
Telephone Number	:	480-374-3689
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 S HOUGHTON RD STE 158-583
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-4703
Country	:	US
Telephone Number	:	480-374-3689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2019
Last Update Date	:	04/20/2023

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Directions to “ VALERIA MORADO ” Practice Location

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