Individual
WILLIAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 585-1213
(918) 382-2427
Mailing address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 585-1213
(918) 382-2427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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