KENNETH JERALD MOORE

TULSA, OK
NPI1376722348
Other NameKEN J MOORE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  2165)
Enumeration Date2007-10-26
Last Update Date2009-08-14
Business Address
Dr. KENNETH JERALD MOORE phd lcsw
6906 S UTICA PL
TULSA, OK 74136-5158
Phone number: 918-794-4596
Mailing Address
Dr. KENNETH JERALD MOORE phd lcsw
6906 S UTICA PL
TULSA, OK 74136-5158
Phone number: 918-794-4596
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