Individual
MRS. JULIE MARIE SAMANIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
520 S HOLLAND ST, SUITE 512, WICHITA, KS 67209-2096
(316) 440-8928
(316) 440-8928
Mailing address
520 S HOLLAND ST, SUITE 512, WICHITA, KS 67209-2096
(316) 440-8928
(316) 440-8928
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
546
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200440680B
—
KS
Enumeration date
03/15/2007
Last updated
07/02/2013
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