Individual
MRS. SAMANTHA RONNEL QUERUBIN-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW U/S
Contact information
Practice address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-2389
(918) 567-2417
Mailing address
13224 SE 202ND RD, TALIHINA, OK 74571-5866
(918) 567-2389
(918) 567-2417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20158-P
OK
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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