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Randi Bock

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

NPI number1982156345
StatusActive
Last updated in NPPESNov 1, 2016

Details

NPI
1982156345
Entity type
Individual (NPI-1)
Name
Randi Bock
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2016
Last updated
Nov 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

908 Sw 1st St
Moore, OK 73160-2206

Phone 405-268-1666

Mailing address

908 Sw 1st St
Moore, OK 73160-2206

Phone 405-268-1666

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