Individual
MARIA SANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4613 PARKWAY DR STE 6, TEXARKANA, AR 71854-1142
(903) 949-9962
Mailing address
2815 RICHMOND RD APT 137, TEXARKANA, TX 75503-2174
(903) 949-9962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111200A
—
OK
Enumeration date
07/01/2014
Last updated
07/21/2022
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