Individual
KIMBERLY PUCKETT-SAMSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 POINT PLEASANT CT, BLANCHARD, OK 73010-5534
(405) 651-9751
Mailing address
327 POINT PLEASANT CT, BLANCHARD, OK 73010-5534
(405) 651-9751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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