Individual
MRS. MARTHA LUCIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
117 PONCE DE LEON, SUITE 202, MIAMI, FL 33134
(305) 445-0477
Mailing address
1040 MARINER DR, KEY BISCAYNE, FL 33149-2474
(305) 361-7318
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1409
FL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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