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Tahereh Marisa Ryland-Neal

Counselor, Mental Health in Moore, OK. Individual provider (NPI-1).

NPI number1043874530
StatusActive
Last updated in NPPESApr 30, 2019

Details

NPI
1043874530
Entity type
Individual (NPI-1)
Name
Tahereh Marisa Ryland-Neal
Sex
Female
Sole proprietor
No
Enumeration date
Apr 30, 2019
Last updated
Apr 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health7110OKYes

Practice location

620 Nw 5th St
Moore, OK 73160-3948

Phone 405-703-8772

Mailing address

624 Nw 5th St
Moore, OK 73160-3924

Phone 405-799-3379

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