Individual
DEBORAH JEAN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1560 E 21ST ST, SUITE 210, TULSA, OK 74114-1351
(918) 949-9187
Mailing address
1560 E 21ST ST, SUITE 210, TULSA, OK 74114-1351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2624
OK
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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