Individual
DR. SAMANTHA JO BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PHD
Contact information
Practice address
449 WYMAN DR, WOOD HEIGHTS, MO 64024-2803
(816) 317-4120
(816) 479-2203
Mailing address
449 WYMAN DR, WOOD HEIGHTS, MO 64024-2803
(816) 317-4120
(816) 479-2203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002026474
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498318716
—
MO
Enumeration date
02/15/2007
Last updated
03/27/2026
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