Amanda Leeann Moore, GED

NPI #1649056136 in Wagoner, Oklahoma

Provider Information

NPI Number: 1649056136
Entity Type: Individual
Name: Amanda Leeann Moore, GED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: GED
Enumeration Date: Aug 31, 2023
Last Updated: Aug 31, 2023

Practice Location

Address: 215 NE 1ST ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4439
Phone: (918) 201-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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