Individual
CHRISTINA MARIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4319 S LEE ST STE 300, BUFORD, GA 30518-5752
(678) 288-9770
Mailing address
212 ADAIR ST APT B3, DECATUR, GA 30030-2906
(219) 308-2067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011565
GA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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