# ELOISE J PANKRATZ, LSCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861922809
- **Authorized official:** ELOISE J PANKRATZ LSCSW (LSCSW)
- **Authorized official phone:** (316) 772-2000

## Contact information

- **Practice address:** 1143 S GOVERNEOUR RD, WICHITA, KS 67207-2812
- **Practice address phone:** (316) 772-2000
- **Mailing address:** 1143 S GOVERNEOUR RD, WICHITA, KS 67207-2812
- **Mailing address phone:** (316) 772-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4665 | KS | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 07/21/2022