Individual
JEREMY MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5136 COMMUNITY CENTER DR, USAF ACADEMY, CO 80840-3002
(719) 459-7046
Mailing address
5136 COMMUNITY CENTER DR, USAF ACADEMY, CO 80840-3002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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