Organization
SAMANTHA SMITH LSCSW RPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SAMANTHA SMITH LSCSW RPT (OWNER)
(316) 640-2584
Entity
Organization
Contact information
Practice address
250 N ROCK RD STE 110, WICHITA, KS 67206-2262
(316) 640-2584
Mailing address
250 N ROCK RD STE 110, WICHITA, KS 67206-2262
(316) 640-2584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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