Individual
MR. KYLE LEE MOORE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
805 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 447-4499
Mailing address
140 REED AVE, NORMAN, OK 73071-5212
(580) 512-2628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5545-P
OK
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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