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Individual

SAMANTHA JOY UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
12351 W 96TH TER, SUITE 300, LENEXA, KS 66215-4409
(913) 894-0900
(913) 894-8908
Mailing address
12425 W 120TH ST, APT. 1022, OVERLAND PARK, KS 66213-4838
(913) 702-4077
(913) 894-0908

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7557
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23-7368880
KS
Enumeration date
03/16/2011
Last updated
03/16/2011
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