Individual
ANN MARIE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 GODWIN AVE, MIDLAND PARK, NJ 07432-1519
(201) 445-0717
(201) 447-1240
Mailing address
16 JUDITH ANN CT, MAHWAH, NJ 07430-1411
(201) 529-2202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05875
NJ
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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