Individual
MRS. ALFREDA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13999 WILL SAMPSON RD, BEGGS, OK 74421-2759
(918) 833-2775
Mailing address
13999 WILL SAMPSON RD, BEGGS, OK 74421-2759
(918) 833-2775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/25/2012
Last updated
04/17/2013
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