Individual
GAGE MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N D ST, MCALESTER, OK 74501-2314
(918) 426-1614
(918) 426-1648
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
05
—
200049040
—
OK
Enumeration date
10/18/2013
Last updated
10/18/2013
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