Individual
GREGORY R TANGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2619 W 6TH ST., SUITE C, LAWRENCE, KS 66049
(785) 830-8299
(785) 749-2581
Mailing address
2619 W 6TH ST., SUITE C, LAWRENCE, KS 66049
(785) 830-8299
(785) 749-2581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1740
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068981
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/01/2006
Last updated
12/30/2016
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