Gawain, Moss

Gawain, Moss is an individual health care provider with primary practice located at 2548 E Kenosha St , Broken Arrow OK 74014-6712. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Gawain, Moss can be contacted via phone (918) 355-0993.

Contact Information

Primary practice address
2548 E Kenosha St Broken Arrow OK 74014-6712
Phone: (918) 355-0993
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1164103834
LBN Legal business name Gawain, Moss
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2023
Last updated Feb 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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