Individual
SAMANTHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 WALNUT ST, OSKALOOSA, KS 66066-4203
(785) 214-4084
(785) 214-4107
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4964
KS
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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