Individual
SELONDA MOSELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 NW 23RD ST, SUITE 105, OKLAHOMA CITY, OK 73103-1469
(405) 521-8779
Mailing address
PO BOX 397, CHOCTAW, OK 73020-0397
(405) 521-8779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1458
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746300 D
—
OK
Enumeration date
09/23/2006
Last updated
03/08/2010
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