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1871738757
TAMRA MOSHER-BACON
WAGONER, OK
NPI
1871738757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-12-08
Last Update Date
2015-06-30
Business Address
-- TAMRA MOSHER-BACON MS, BHRS, BHCM
404 W CHEROKEE ST STE A
WAGONER, OK 74467-4627
Phone number: 405-408-8902
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Mailing Address
-- TAMRA MOSHER-BACON MS, BHRS, BHCM
PO BOX 183
WAGONER, OK 74477-0183
Phone number: 405-408-8902
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TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC