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Gloria Moore, LPC

Counselor, Professional in Stillwater, OK. Individual provider (NPI-1).

NPI number1437315744
StatusActive
Last updated in NPPESAug 6, 2008

Details

NPI
1437315744
Entity type
Individual (NPI-1)
Name
Gloria Moore
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2008
Last updated
Aug 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional780OKYes

Practice location

820 S Main St
Stillwater, OK 74074-4631

Phone 405-533-3618 · Fax 405-533-3570

Mailing address

509 E Elm St
Salina, KS 67401-2353

Phone 785-825-0541 · Fax 785-825-4024

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