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Individual

SAMANTHA ATTKISSON-SHRIMPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW, LCAC

Contact information

Practice address
1201 WAKARUSA DR BLDG E, SUITE E2 103, LAWRENCE, KS 66049-4722
(785) 806-2821
(785) 856-0390
Mailing address
1511 COLLEGE ST, BALDWIN CITY, KS 66006-4017
(785) 806-2821

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KS
1041C0700X
Clinical Social Worker
Primary
4358
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201106180B
KS
Enumeration date
06/09/2009
Last updated
01/27/2016
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