Individual
SAMANTHA RAE APPLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2544 N MAIZE CT, WICHITA, KS 67205-7324
(316) 867-2353
Mailing address
2544 N MAIZE CT, WICHITA, KS 67205-7324
(316) 201-6047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0001289
CO
1041C0700X
Clinical Social Worker
Primary
SW05528
KS
1041C0700X
Clinical Social Worker
SW16768
FL
Other
Enumeration date
05/18/2018
Last updated
01/12/2022
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