Individual
KERI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-8262
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C010727
NC
1041C0700X
Clinical Social Worker
Primary
C010727
NC
Other
Enumeration date
12/25/2013
Last updated
06/26/2024
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