Individual
ELOISE J PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
240 N ROCK RD, STE 228, WICHITA, KS 67206-2245
(316) 351-8029
(316) 776-4547
Mailing address
1143 S. GOVERNEOUR RD, WICHITA, KS 67207
(316) 772-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7357
KS
1041C0700X
Clinical Social Worker
Primary
4665
KS
Other
Enumeration date
07/15/2009
Last updated
08/31/2017
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