Individual
JULIE ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W BROADWAY, THOMAS, OK 73669-7366
(580) 661-3488
Mailing address
901 N 6TH ST, THOMAS, OK 73669-8110
(580) 661-1615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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