Individual
MRS. LINDA SUE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
724 W MAIN ST, YUKON, OK 73099-1038
(405) 609-7339
Mailing address
2608 S RENO AVE, EL RENO, OK 73036-5843
(405) 609-7339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
513
OK
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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