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Individual

MITCHELL PRICE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
18504 ENGLISH OAK LN, EDMOND, OK 73012-4054
(405) 694-1254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/11/2007
Last updated
10/30/2023
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