Individual
KIMBERLY SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
888 NEW HAMPSHIRE ST APT 406, LAWRENCE, KS 66044-2781
(585) 710-5500
Mailing address
888 NEW HAMPSHIRE ST APT 406, LAWRENCE, KS 66044-2781
(585) 710-5500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113211-01
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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