Individual
ILITZA ALVAREZ-MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
141 MILITARY DR, JACKSON, MS 39232-8877
(601) 405-8418
Mailing address
102 TWAIN TRL, CLINTON, MS 39056-7700
(469) 496-9901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58200
TX
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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