Individual
CYNTHIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6955 STATE ROUTE 162, MARYVILLE, IL 62062-8531
(618) 288-3800
Mailing address
6955 STATE ROUTE 162, MARYVILLE, IL 62062-8531
(618) 288-3800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009015706
MO
Other
Enumeration date
03/10/2010
Last updated
03/17/2018
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