Individual
SAMSON WAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Mailing address
7051 FREEDOM LN APT 203, SUMMERSET, SD 57718-8729
(606) 620-2021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25547
KY
104100000X
Social Worker
Primary
5252
SD
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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