Individual
GENTRY COBB
Active
Individual
GENTRY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW; LSCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012012516
MO
1041C0700X
Clinical Social Worker
4272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012012516
LCSW LICENSURE
MO
01
—
4272
LSCSW LICENSURE
KS
Enumeration date
12/04/2014
Last updated
04/16/2025
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