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Organization

SAMANTHA RUNNION, LSCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA VALENE RUNNION (MENTAL HEALTH THERAPIST)
(316) 777-6718
Entity
Organization

Contact information

Practice address
7570 W 21ST ST N., BUILDING 1046, SUITE A, WICHITA, KS 67205-6720
(316) 777-6718
(316) 462-0629
Mailing address
7570 W 21ST ST N, BUILDING 1046, SUITE A, WICHITA, KS 67205-1734
(316) 777-6718
(316) 462-0629

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4078
KS

Other

Enumeration date
07/20/2016
Last updated
01/01/2022
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