Individual
GENTRY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 E 2700 S, SOUTH SALT LAKE, UT 84115-3132
(801) 657-4160
Mailing address
2725 S LAKE ST, SALT LAKE CITY, UT 84106-1744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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