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1083945208
LADENA CAROL MOORE
PRYOR, OK
NPI
1083945208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3702)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
-- LADENA CAROL MOORE LPC NCC
212 S E 1ST
PRYOR, OK 74361
Phone number: 918-825-4115
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Mailing Address
-- LADENA CAROL MOORE LPC NCC
PO BOX 912
PRYOR, OK 74362-0912
Phone number: 918-825-4115
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