Individual
SAMANTHA POLITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1700 S BOULEVARD STE B, EDMOND, OK 73013-5174
(405) 215-9151
Mailing address
1700 S BOULEVARD STE B, EDMOND, OK 73013-5174
(918) 260-6981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
21157
OK
104100000X
Social Worker
21157
—
Other
Enumeration date
11/18/2021
Last updated
09/04/2024
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