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1790098077
IDALMIS E MORENO
LAKE WORTH, FL
NPI
1790098077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13838)
Enumeration Date
2010-07-15
Last Update Date
2018-09-11
Business Address
IDALMIS E MORENO LMHC
2840 6TH AVE S
LAKE WORTH, FL 33461-4729
Phone number: 561-383-9800
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Mailing Address
IDALMIS E MORENO LMHC
1946 CLYDESDALE DR
LOXAHATCHEE, FL 33470-3914
Phone number: 561-383-9800
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