Individual
MRS. BRENDA L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 422-8822
Mailing address
524 N DAVIS AVE, OKLAHOMA CITY, OK 73127-4860
(405) 787-9794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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