Individual
ANITA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 337-9003
(904) 485-8704
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 337-9003
(904) 485-8704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I7599
OH
1041C0700X
Clinical Social Worker
Primary
SW16286
FL
Other
Enumeration date
03/03/2007
Last updated
02/26/2020
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