Individual
MILDRED MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 32751-7270
(813) 507-6955
Mailing address
2409 SILVERMOSS DR, WESLEY CHAPEL, FL 33544-8704
(813) 507-6955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/16/2017
Last updated
03/21/2018
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