Individual
SAMANTHA MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMLP
Contact information
Practice address
2619 W 6TH ST STE C, LAWRENCE, KS 66049-4300
(785) 830-8299
Mailing address
18063 HARVEST LN, CARTHAGE, MO 64836-7681
(417) 388-3266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2835
KS
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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