Individual
MARY SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18781 JARBALO RD, LEAVENWORTH, KS 66048-7390
(913) 944-0800
Mailing address
PO BOX 286, SHAWNEE MISSION, KS 66201-0286
(913) 944-0800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10638
KS
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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