Individual
CORINNE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(801) 683-1062
Mailing address
170 E 1350 N, BOUNTIFUL, UT 84010-4577
(801) 413-8192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12877297-3502
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/12/2021
Last updated
06/23/2025
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