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Samantha Jo Mirick
Peer Specialist in Mcalester, Oklahoma
NPI 1548908544

Samantha Jo Mirick is a Peer Specialist based in Mcalester, OK. Samantha Jo Mirick practices in Mcalester, OK. The NPI Number for Samantha Jo Mirick is 1548908544 and holds a License No. (Oklahoma).

The current practice location address for Samantha Jo Mirick is 628 E Creek Ave, Mcalester, OK and can be reached out via phone at 918-421-3500.

Location: 628 E Creek Ave, Mcalester, OK, 74502-1404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548908544
Provider Name
Samantha Jo Mirick
Credential
Provider Entity Type
Individual
Gender
Female
Address
628 E Creek Ave, Mcalester, OK, 74502-1404
Phone Number
918-421-3500
Fax Number
Provider Enumeration Date
05/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
628 E Creek Ave
City
Mcalester
State
Oklahoma
Zip
74501-6930
Phone Number
918-421-3500
Fax Number
person
Provider Business Mailing Address Details
Address
628 E Creek Ave
City
Mcalester
State
Oklahoma
Zip
74501-6930
Phone Number
918-421-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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