Individual
GARY LASLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
32557 W 173RD ST, GARDNER, KS 66030-9222
(816) 217-8367
Mailing address
32557 W 173RD ST, GARDNER, KS 66030-9222
(816) 217-8367
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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