Individual
RUBY AURORA MOYANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S PAULINA ST, CHICAGO, IL 60612-3808
(312) 942-2478
Mailing address
710 S PAULINA ST, CHICAGO, IL 60612-3808
(312) 942-2478
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117497
IL
Other
Enumeration date
10/09/2025
Last updated
10/24/2025
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