Individual
DIANA SAMARRIPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
Mailing address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 273-1841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
06/29/2023
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