Samantha Nelson

NPI #1013393438 in Wilburton, Oklahoma

Provider Information

NPI Number: 1013393438
Entity Type: Individual
Name: Samantha Nelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 7, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 103 1/2 W MAIN ST
City: Wilburton
State: Oklahoma
ZIP Code: 74578-4043
Phone: (918) 465-7890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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