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I would report it.
My mother has many cats on her farm. All were kittens that people just threw out of their cars along the farm road she lives on. She keeps them clean, has them neutered/spayed, and has had each one to the vet many times. I still call her the crazy cat lady, but that is just for fun. There is a thin line between saving animals and letting it get out of control. From what you said, it is out of control. This person is either a TRUE horder or is in way over her head and doesn't want to admit it. Either way an intervention is needed to make sure the cats are ok.
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