Individual
MARSHA COBELL-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
(918) 762-6646
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
(918) 762-6646
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5355
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506807YPF5
—
OK
Enumeration date
06/16/2007
Last updated
06/26/2020
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