Individual
REBECCA ROSE SAMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 4TH ST STOP 6225, LUBBOCK, TX 79430-6225
(806) 241-7286
Mailing address
4904 ITASCA ST, LUBBOCK, TX 79416-1223
(806) 241-7286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015313
MI
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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