Individual
ELIZABETH MOORE MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
(405) 665-6396
Mailing address
3012 E 2110 RD, HUGO, OK 74743-4522
(918) 443-7063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11224
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/18/2017
Last updated
03/23/2026
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