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ANTHONY ALLEN MOSS

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508172396

Individual Registrant:
 ANTHONY ALLEN MOSS 
Gender: M
Sole Proprietor

Location and contact information for practice:
304 GINA LN  CHELSEA, OK 74016-1113 US
Tel: 918-519-6097  Fax: --

Contact information for business:
304 GINA LN  CHELSEA, OK 74016-1113 US
Tel: --  Fax: --

Registration Information:
NPI: 1508172396
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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