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Individual

CASIE LEA MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
17939 N PENNSYLVANIA AVE STE B, EDMOND, OK 73012-9001
(405) 726-1099
Mailing address
17105 KINGFISHER WAY, EDMOND, OK 73012-8403
(580) 744-0072

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OK

Other

Enumeration date
09/22/2022
Last updated
07/24/2025
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