Individual
LYDIA GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6155 OAK STREET, SUITE B, KANSAS CITY, MO 64113
(816) 607-3091
(816) 494-9152
Mailing address
9229 ANTIOCH ROAD, OVERLAND PARK, KS 66212
(828) 216-5865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024013897
MO
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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