Individual
MRS. DAWN MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.H.R.S.
Contact information
Practice address
3529 E AURORA ST, BROKEN ARROW, OK 74014-1759
(918) 688-6929
Mailing address
3529 E AURORA ST, BROKEN ARROW, OK 74014-1759
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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