Individual
DARBY L MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
3030 PECKENS RD, HONOR, MI 49640-9536
(231) 325-5039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801032905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801032905
MICHIGAN STATE LICENSE
MI
Enumeration date
06/22/2007
Last updated
12/17/2007
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