Individual
SAMANTHA STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(913) 735-0577
Mailing address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(231) 944-2529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11324
KS
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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