Individual
MRS. MICHELLE LYNN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 905-4345
(507) 218-8492
Mailing address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 905-4345
(507) 218-8492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
24899
MN
Other
Enumeration date
08/11/2021
Last updated
04/15/2024
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