Individual
MRS. ERICA VIRIDIANA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
649 BARRON BLVD, GRAYSLAKE, IL 60030-1343
(815) 200-8520
Mailing address
1108 HAINESVILLE RD, ROUND LAKE BEACH, IL 60073-2202
(847) 971-5501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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