Organization
ELOISE J PANKRATZ, LSCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELOISE J PANKRATZ LSCSW (LSCSW)
(316) 772-2000
Entity
Organization
Contact information
Practice address
1143 S GOVERNEOUR RD, WICHITA, KS 67207-2812
(316) 772-2000
Mailing address
1143 S GOVERNEOUR RD, WICHITA, KS 67207-2812
(316) 772-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4665
KS
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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