Individual
MARY KATHLEEN SAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1300 E 9TH ST STE 5, EDMOND, OK 73034
(405) 562-0750
Mailing address
9217 NW 137TH ST, YUKON, OK 73099-8777
(405) 562-0750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
06/18/2018
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