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NPI 1104496280

IndividualActive

Alexandria Moore

NPI 1104496280 · Peer Specialist · Stilwell, OK

Provider details

NPI number: 1104496280
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

716 S 2nd St Ste 101

Stilwell, OK 74960-4806

Phone: (918) 696-6212

More OK providers

Mailing address

3845 Southridge Cir Apt 10

Tahlequah, OK 74464-7955

Registry dates

Enumerated: 2021-06-30
Last updated: 2021-06-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexandria Moore — NPI 1104496280, Stilwell, OK | NPI Central