Individual
LAUREN SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, RPT
Contact information
Practice address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 685-9311
(316) 633-4283
Mailing address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 640-2584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4918
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201132160B
—
KS
Enumeration date
07/17/2015
Last updated
10/29/2021
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