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1588262240
BRIAN MICHAEL
MOORE, OK
NPI
1588262240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 7586)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
BRIAN MICHAEL LCSW
700 S TELEPHONE RD
MOORE, OK 73160-2550
Phone number: 405-912-3495
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Mailing Address
BRIAN MICHAEL LCSW
307 HORIZON VIEW CT
NORMAN, OK 73071-4165
Phone number: 405-606-1500
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