Marcos Moreno Pllc

NPI #1952935504 in Meridian, Idaho

Provider Information

NPI Number: 1952935504
Entity Type: Organization
Organization Name: Marcos Moreno Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 22, 2020
Last Updated: Feb 22, 2020

Practice Location

Address: 2596 N STOKESBERRY PL STE 180
City: Meridian
State: Idaho
ZIP Code: 83646-6282
Phone: (208) 391-4841

Authorized Official

Name: MARCOS MORENO, MSW, LCSW
Title: OWNER/LCSW
Phone: (208) 391-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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