Individual
BRIDGET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341069 E COUNTRY MEADOWS DR, MEEKER, OK 74855-9181
(405) 567-5810
Mailing address
341069 E COUNTRY MEADOWS DR, MEEKER, OK 74855-9181
(405) 567-5810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M081589046
OK
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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