Most Relevant Information
Provider Data
| NPI Number: | 1003465808 |
| Provider Name: | YVETTE A MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 5144 |
Most Important Dates
| Enumeration Date: | 09/05/2019 |
| Last Updated: | 09/05/2019 |
Provider Practice Location
8261 SUMMA AVE STE G
BATON ROUGE
LA
708093452
Practice Location Phone/Fax
| Phone: | 2252505829 |
| Fax: | 2252505879 |
Provider Mailing Location
18244 MUDDY CREEK RD
PRAIRIEVILLE
LA
707695651
Provider Mailing Phone/Fax
| Phone: | 2253352423 |
| Fax: |