Alexandria Nina Moore

NPI #1104496280 in Stilwell, Oklahoma

Provider Information

NPI Number: 1104496280
Entity Type: Individual
Name: Alexandria Nina Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 716 S 2ND ST STE 101
City: Stilwell
State: Oklahoma
ZIP Code: 74960-4806
Phone: (918) 696-6212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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