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1609498609
MORENO THERAPY, PC, LLC
OMAHA, NE
NPI
1609498609
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Entity Type
Organization
Authorized Contact
DOMINIQUE RAY MORENO
Founder
402-660-9555
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
MORENO THERAPY, PC, LLC
2620 N 132ND AVE
OMAHA, NE 68164-4023
Phone number: 402-660-9555
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Mailing Address
MORENO THERAPY, PC, LLC
2620 N 132ND AVE
OMAHA, NE 68164-4023
Phone number: 402-660-9555
Copy
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