JEREMIAH LEE MOEN

WACO, TX
NPI1578238929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  67912)
Enumeration Date2021-08-09
Last Update Date2021-08-09
Business Address
JEREMIAH LEE MOEN LCSW
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4500
Mailing Address
JEREMIAH LEE MOEN LCSW
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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