Martinique M Moron, RCSWI
Social Worker, Clinical in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1164034559
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1164034559
- Entity type
- Individual (NPI-1)
- Name
- Martinique M Moron
- Credential
- RCSWI
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4244 Central AveSaint Petersburg, FL 33711-1140
Phone 727-346-8306
Mailing address
8620 Anglers Pointe Dr # 2Temple Terrace, FL 33637-1844
Phone 850-653-5222
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