Individual
DEBORAH GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2627 REDWING RD STE 220, FORT COLLINS, CO 80526-6331
(281) 961-7838
Mailing address
1139 BELLEVIEW DR, FORT COLLINS, CO 80526-3837
(281) 961-7838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924057
CO
Other
Enumeration date
07/20/2011
Last updated
09/25/2019
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