ANGELA MOORE

BROKEN ARROW, OK
NPI1417496027
Former NameANGELA STARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-02-15
Last Update Date2017-02-15
Business Address
-- ANGELA MOORE B.S.
905 S 30TH ST
BROKEN ARROW, OK 74014-2848
Phone number: 918-933-3964
Mailing Address
-- ANGELA MOORE B.S.
905 S 30TH ST
BROKEN ARROW, OK 74014-2848
Phone number:
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