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1689958894
ODETTA MARIA MOORE
TULSA, OK
NPI
1689958894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 6275)
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2011-10-06
Last Update Date
2021-11-02
Business Address
Ms. ODETTA MARIA MOORE LPC
5310 E 31ST ST
TULSA, OK 74135-5018
Phone number: 918-600-3100
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Mailing Address
Ms. ODETTA MARIA MOORE LPC
PO BOX 701111
TULSA, OK 74170-1111
Phone number: 918-406-7195
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