Individual
VIVIAN KAY SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 NW 115TH TERR, OKLAHOMA CITY, OK 73120
(405) 848-1078
Mailing address
2113 NW 115TH TERR, OKLAHOMA CITY, OK 73120
(405) 848-1078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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