Brenna E Moore, BA

NPI #1932426723 in Durant, Oklahoma

Provider Information

NPI Number: 1932426723
Entity Type: Individual
Name: Brenna E Moore, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA
Enumeration Date: May 3, 2010
Last Updated: May 3, 2010

Practice Location

Address: 4216 COMMERCIAL LN
City: Durant
State: Oklahoma
ZIP Code: 74701-7785
Phone: (580) 924-9441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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