Individual
MRS. STEPHANIE OWEN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ATR-BC
Contact information
Practice address
2231 N. UNIVERSITY DR., SUITE C, PEMBROKE PINES, FL 33024
(954) 989-8818
(954) 989-8812
Mailing address
1445 NW 10 ST., DANIA BEACH, FL 33004-2342
(954) 920-0391
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2143
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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