Jeffrey Ryan Moreno L.C.S.W.

NPI 1083983514 - Social Worker - 1041C0700X

NPI Details
NPI 1083983514
Gender Male
Enumeration Date 12/29/2011
Last Updated 02/09/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
5700 E FRANKLIN RD STE 250
NAMPA ID, 83687-7902, US
Phone (208) 570-8894
Fax
Business Location
5700 E FRANKLIN RD STE 250
NAMPA ID, 83687-7902, US
Phone (208) 570-8894
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-31828
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According to our database, Mr. Jeffrey Ryan Moreno L.C.S.W. NPI is 1083983514, taxonomy code is 1041C0700X and license number is LCSW-31828, license state is located at Idaho. Jeffrey Ryan Moreno L.C.S.W. physically located at 5700 E Franklin Rd Ste 250, Nampa ID, 83687-7902. NPI Number Jeffrey Ryan Moreno L.C.S.W. has the Individual type.

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1083983514 NPI number is provided on an as is basis without warranty of any kind. 1083983514 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Ryan Moreno L.C.S.W. are for informational purposes only.