Individual
JOSEPH MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 S 76TH ST STE 220, MILWAUKEE, WI 53214-1599
(718) 406-7268
Mailing address
N90W27785 S RED FOX RUN, HARTLAND, WI 53029-1165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134735
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2022
Last updated
02/27/2024
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