Individual
DAMARIS MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-0200
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-0200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023207
IL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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