Individual
MR. THOMAS TAYLOR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
111 ARROWHEAD DR, PAULS VALLEY, OK 73075-5301
(405) 331-2300
(405) 331-2302
Mailing address
18202 W 20TH ST N, HASKELL, OK 74436-2800
(918) 639-3903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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