Individual
KARLIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 808-2002
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 808-2002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12488
OK
Other
Enumeration date
09/28/2021
Last updated
11/18/2024
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