Individual
CRYSTAL L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 POINT DR, TULSA, OK 74131-4028
(918) 636-2830
Mailing address
8725 POINT DR, TULSA, OK 74131-4028
(918) 636-2830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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