Individual
SAMATHA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 REDMONT TRCE, EDMOND, OK 73034-4010
(405) 406-2699
Mailing address
3741 REDMONT TRCE, EDMOND, OK 73034-4010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11111
OK
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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