Samantha Ronae Bumguardner, YOUTHSERVICE
Samantha Ronae Bumguardner, YOUTHSERVICE is a Counselor in Sallisaw, Oklahoma. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
205 J T Stites BlvdSallisaw, OK 74955-9323
Phone: (918) 775-7787
Fax: (918) 775-0328
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1013738244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | YOUTHSERVICE |
| Sole proprietor | No |
| NPI enumerated | October 21, 2024 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 21, 2024 |
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