MICHAEL MOORE

OKLAHOMA CITY, OK
NPI1730468927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  888)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
-- MICHAEL MOORE MA, LADC
1301 SE 59TH ST
OKLAHOMA CITY, OK 73129-7307
Phone number: 405-672-3033
Mailing Address
-- MICHAEL MOORE MA, LADC
PO BOX 307
SPENCER, OK 73084-0307
Phone number:
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