SAMUEL MORENO

MOLINE, IL
NPI1568455236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071003237)
Enumeration Date2005-08-26
Last Update Date2007-07-08
Business Address
Dr. SAMUEL MORENO PhD
4600 3RD ST
MOLINE, IL 61265-6106
Phone number: 309-779-7552
Mailing Address
Dr. SAMUEL MORENO PhD
4602 3RD ST
MOLINE, IL 61265-6106
Phone number: 309-779-2031