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Individual
AARON PENDERGRASS
Active
Individual
AARON PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9179
KS
1041C0700X
Clinical Social Worker
Primary
06993
KS
Other
Enumeration date
07/09/2014
Last updated
01/23/2026
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