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Individual

WILLIAM MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3405 KRISTIN LN, DUNCAN, OK 73533-1801
(580) 736-4455
Mailing address
3405 KRISTIN LN, DUNCAN, OK 73533-1801

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7301
OK

Other

Enumeration date
06/16/2016
Last updated
04/21/2020
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