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Individual

SAMANTHA FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1608 S ELWOOD AVE, TULSA, OK 74119-4208
(918) 587-3888
(918) 587-3891
Mailing address
623 N 27TH WEST AVE, TULSA, OK 74127-5122
(918) 944-3790

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
171M00000X
Case Manager/Care Coordinator
Primary
317437
OK
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/27/2020
Last updated
05/04/2026
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