Crystal L Moore

NPI #1003395617 in Tulsa, Oklahoma

Provider Information

NPI Number: 1003395617
Entity Type: Individual
Name: Crystal L Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 8725 POINT DR
City: Tulsa
State: Oklahoma
ZIP Code: 74131-4028
Phone: (918) 636-2830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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