IDA MOORE

EDMOND, OK
NPI1801362983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  3156)
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
IDA MOORE LPC
16224 EVERGLADE LN
EDMOND, OK 73013-1259
Phone number: 405-609-4307
Mailing Address
IDA MOORE LPC
16224 EVERGLADE LN
EDMOND, OK 73013-1259
Phone number: 405-609-4307
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