Individual
MISS DEMETRIA J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 424-7711
Mailing address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
11/07/2023
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