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Individual

AARON PENDERGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
1322 CYNTHIA ST, LAWRENCE, KS 66049-3416
(785) 260-0282
Mailing address
1322 CYNTHIA ST, LAWRENCE, KS 66049-3416
(785) 260-0282

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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