Individual
GINGER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1200
(405) 271-8767
(405) 271-2626
Mailing address
1100 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1200
(405) 271-8767
(405) 271-2626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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