Individual
SAUNDRA SMITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
225 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 458-4100
Mailing address
225 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 458-4100
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
150688
OK
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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