Individual
MONIQUE MORENO AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1118 SKYVIEW RD, CHARLOTTE, NC 28208-6249
(704) 975-4627
Mailing address
1118 SKYVIEW RD, CHARLOTTE, NC 28208-6249
(704) 975-4627
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11080A
NC
Other
Enumeration date
12/18/2018
Last updated
07/23/2019
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