Individual
ELIZABETH G MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118
(617) 534-3005
(857) 288-2360
Mailing address
1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118
(617) 534-3134
(857) 288-2315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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