SAMANTHA EZELL

ARDMORE, OK
NPI1487199527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- SAMANTHA EZELL
115 W BROADWAY ST 401
ARDMORE, OK 73401-6205
Phone number: 580-226-5209
Mailing Address
-- SAMANTHA EZELL
PO BOX 1710
KINGSTON, OK 73439-1710
Phone number:
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