Individual
MRS. JESSICA NICOLE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 CRESTVIEW RD, STERLING, IL 61081-4315
(815) 535-1325
Mailing address
1309 CRESTVIEW RD, STERLING, IL 61081-4315
(815) 535-1325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006079
IL
Other
Enumeration date
10/25/2017
Last updated
09/16/2019
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