Individual
MS. HANNAH RUTH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6101
(918) 914-9819
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6101
(918) 914-9819
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1285339580
OK
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
04/04/2023
Last updated
05/27/2025
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