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Individual

SAMANTHA STAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LSCSW

Contact information

Practice address
6155 OAK ST STE C, KANSAS CITY, MO 64113-2266
(816) 226-6802
Mailing address
904 E 39TH ST APT 1D, KANSAS CITY, MO 64109-2692
(816) 830-0268

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
05582
KS
1041C0700X
Clinical Social Worker
Primary
2021031853
MO

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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