Individual
SAMANTHA K LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24797 S HIGHWAY 66 UNIT 5, CLAREMORE, OK 74019-2402
(918) 342-2080
Mailing address
1114 N GARFIELD AVE, SAND SPRINGS, OK 74063-7321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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