Individual
CAROL MARSHEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SW 38TH ST, LAWTON, OK 73505
(580) 250-2600
Mailing address
502 SW 38TH ST, LAWTON, OK 73505-6921
(580) 250-2600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/23/2018
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