Individual
MRS. GABRIELE ELAINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
515 S SANTA FE AVE, SUITE 106, EDMOND, OK 73003-6210
(405) 255-1152
Mailing address
515 S SANTA FE AVE, SUITE 106, EDMOND, OK 73003-6210
(405) 255-1152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4275
OK
Other
Enumeration date
02/15/2010
Last updated
05/11/2010
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