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Individual

MR. ESPIRIDION MORENO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
WACO VA MEDICAL CENTER, 4800 MEMORIAL DR., WACO, TX 76711
(254) 752-6581
(254) 297-5346
Mailing address
1804 SUNSET RD, ROBINSON, TX 76706-5579
(254) 752-6581
(254) 297-5346

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03589
TX

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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