MAXIMO MORENO

EVERETT, WA
NPI1639616220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  1174784185)
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
-- MAXIMO MORENO CO 60653500
5007 CLAREMONT WAY
EVERETT, WA 98203-3321
Phone number: 425-609-5504
Mailing Address
-- MAXIMO MORENO CO 60653500
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0502
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