Jackie Anne Moreno, LMSW

NPI #1982122248 in Deming, New Mexico

Provider Information

NPI Number: 1982122248
Entity Type: Individual
Name: Jackie Anne Moreno, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 6, 2017
Last Updated: Sep 6, 2017

Practice Location

Address: 415 W HEMLOCK ST
City: Deming
State: New Mexico
ZIP Code: 88030-3622
Phone: (575) 545-2459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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