Individual
MRS. KATHRYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(405) 740-6825
Mailing address
3144 E 47TH ST, TULSA, OK 74105-5307
(918) 619-6143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2284
OK
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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