Individual
MR. SAMUEL A HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LCSW, LMFT
Contact information
Practice address
12 & 12 INC. CENTER FOR ADDICTION TREATMENT, 6333 E. SKELLY DRIVE, TULSA, OK 74135
(918) 664-4224
Mailing address
19732 S HARVARD AVE, MOUNDS, OK 74047-5014
(918) 366-8146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0814
OK
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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