Individual
MRS. TRACI LEANE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3050 SUNNYBROOK RD, CORPUS CHRISTI, TX 78405
(888) 365-6271
(210) 615-1877
Mailing address
7272 WURZBACH RD, #601, SAN ANTONIO, TX 78240
(210) 615-3408
(877) 788-3229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/11/2014
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