Individual
LAYNE ERIC PANGRAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3625 BELL ST, KANSAS CITY, MO 64111-3911
(816) 805-9014
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 805-9014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
11/12/2021
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