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Search › Oklahoma › 171M00000X

Angela Owings Moore

NPI 1013606730 · on the registry since 2023 · sole proprietor

Practice

Address
301 N High St
Antlers, OK 74523
Phone
(580) 271-7055
Organisation at this address
Providence Service Corporation
Serenity Behavioral Services, Pllc
Providence Service Corporation Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma