Most Relevant Information
Provider Data
| NPI Number: | 1003546391 |
| Provider Name: | JOHN GABRIEL MORENO LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2022 |
| Last Updated: | 11/20/2023 |
Provider Practice Location
509 MAGDALEN AVE
CROWLEY
TX
760364113
Practice Location Phone/Fax
| Phone: | 8176890245 |
| Fax: |
Provider Mailing Location
509 MAGDALEN AVE
CROWLEY
TX
760364113
Provider Mailing Phone/Fax
| Phone: | 8176890245 |
| Fax: |