Individual
MRS. SAMANTHA MARIE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
313 E 6TH AVE, BRISTOW, OK 74010-3005
(918) 604-1257
Mailing address
313 E 6TH AVE, BRISTOW, OK 74010-3005
(918) 604-1257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
103K00000X
Behavior Analyst
—
OK
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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