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Individual

GARY LEE COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266
Mailing address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
758
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098010
KS
01
11005031
BCBS OF KC
Enumeration date
07/31/2006
Last updated
11/05/2008
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