Individual
MS. JENNIFER LYNN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-7011
(262) 878-7024
Mailing address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-7011
(262) 878-7024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126683-121
WI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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