Individual
MRS. STEPHANIE MOORE-JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1601 W OKMULGEE ST STE M, MUSKOGEE, OK 74401-6700
(918) 681-4944
(918) 681-4990
Mailing address
1601 W OKMULGEE ST STE M, MUSKOGEE, OK 74401-6700
(918) 681-4944
(918) 681-4990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3641
OK
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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