| Doctor Name: | MARY MORAN |
| NPI Number: | 1437175361 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS13698 |
| Business Practice Address: | 621 Forest Ave Ste 2c Pacific Grove, CA - 939504264 |
| Business Phone Number: | 8313731499 |
| Business Fax Number: | 8313731499 |
| Mailing Address: | 621 Forest Ave, Ste 2c PACIFIC GROVE |
| State: | CA |
| Postal Code: | 939504264 |
| Phone Number: | 8313731499 |
| Fax Number: | 8313731499 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 08/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS13698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |