Theda Juana Moreno
Theda Juana Moreno is a Peer Specialist in El Reno, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2025
Practice location Address checks out
1950 S Shepard AveEl Reno, OK 73036-6357
Phone: (405) 549-3519
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1568261360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2025 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
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