Moore, Sandi

Moore, Sandi is an sole proprietor health care provider with primary practice located at 209 Se Ave N , Idabel OK 74745-5728. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Sandi can be contacted via phone (580) 612-2112.

Contact Information

Primary practice address
209 Se Ave N Idabel OK 74745-5728
Phone: (580) 612-2112
Fax: (866) 988-7664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4145 Oklahoma
Behavioral Health & Social Service Providers / Social Worker 104100000X 3530 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1295910685
LBN Legal business name Moore, Sandi
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2008
Last updated Apr 4th, 2016 - about 9 years ago

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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