Organization
KIAMICHI ECONOMIC DEVELOPMENT DISTRICT OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA HUMPHREYS (AGING DIRECTOR)
(918) 465-2367
Entity
Organization
Contact information
Practice address
1002 HIGHWAY 2 N, WILBURTON, OK 74578-3607
(918) 465-2367
(918) 465-3873
Mailing address
1002 HIGHWAY 2 N, WILBURTON, OK 74578-3607
(918) 465-2367
(918) 465-3873
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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