Individual
SAMANTHA THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(620) 343-2211
(620) 342-1021
Mailing address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(620) 343-2211
(620) 342-1021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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