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Individual

GRETCHEN EISENTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 782-2100
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1910
KS

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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