Stephanie Moore

NPI #1356165021 in Altus, Oklahoma

Provider Information

NPI Number: 1356165021
Entity Type: Individual
Name: Stephanie Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 11, 2024
Last Updated: Nov 11, 2024

Practice Location

Address: 3524 PRAIRIE DR E
City: Altus
State: Oklahoma
ZIP Code: 73521-1009
Phone: (405) 361-6016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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