Individual
DOREEN MORONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 HARRISON ST, TITUSVILLE, FL 32780-4611
(321) 362-3319
Mailing address
2221 HARRISON ST, TITUSVILLE, FL 32780-4611
(321) 362-3319
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
9465340
FL
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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