BEGIN:VCARD VERSION:3.0 FN:Miryam Ayala\, MSW N:Ayala;Miryam;;;MSW TITLE:Social Worker TEL;TYPE=WORK,VOICE:+15593535270 URL:https://www.gale.care/providers/ca/madera/miryam-ayala-msw-1518696384 NOTE:NPI 1518696384. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1518696384 END:VCARD