Individual
DESIRE HENDRICKSMORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LSW
Contact information
Practice address
279 NORTH MAIN STREET, FALL RIVER, MA 02720
(508) 679-0033
(508) 679-0037
Mailing address
197 MEETINGHOUSE RD, MASHPEE, MA 02649-2617
(508) 679-0033
(508) 679-0037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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