Individual
REBECCA CECILIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09926092
CO
Other
Enumeration date
07/18/2019
Last updated
05/05/2023
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