Moss Gawain
NPI #1164103834 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1164103834
- Entity Type
- Individual
- Name
- Moss Gawain
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 26, 2023
- Last Updated
- Feb 18, 2025
Practice Location
- Address
- 2548 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (918) 355-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Peer Specialist |
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