Individual
LESLEY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 HORSESHOE DR S STE 404, NAPLES, FL 34104-6155
(800) 217-9289
Mailing address
2535 SW 32ND ST, CAPE CORAL, FL 33914-4902
(239) 233-6630
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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