Most Relevant Information
Provider Data
NPI Number: | 1003293549 |
Provider Name: | WENDY MORENO |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/05/2015 |
Last Updated: | 08/26/2020 |
Provider Practice Location
1101 W 40TH ST UNIT 2225
CHATTANOOGA
TN
374091379
Practice Location Phone/Fax
Phone: | 4864860774 |
Fax: |
Provider Mailing Location
1101 W 40TH ST UNIT 2225
CHATTANOOGA
TN
374091379
Provider Mailing Phone/Fax
Phone: | 4234860774 |
Fax: |