Individual
ANISLEY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 PARK POND WAY, KISSIMMEE, FL 34741-7660
(407) 930-4711
Mailing address
238 RUNNYMEADE DR, CRESTVIEW, FL 32539-4920
(305) 799-9821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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