Individual
JEANETTE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 634-4400
(405) 632-1976
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
(405) 632-1976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1988
OK
Other
Enumeration date
03/15/2007
Last updated
01/03/2017
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