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1801677158
SAMANTHA NELSON
WICHITA, KS
NPI
1801677158
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Former Name
SAMANTHA LYNN MCCOY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KS 9574)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
SAMANTHA NELSON LMSW
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
SAMANTHA NELSON LMSW
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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