Individual
SAMANTHA ELISE COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 WALNUT ST, LEAVENWORTH, KS 66048-2638
(816) 469-5162
Mailing address
525 WALNUT ST, LEAVENWORTH, KS 66048-2638
(620) 282-4612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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