Individual
ROCHELLE M GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6063
Mailing address
300 4TH ST N, LA CROSSE, WI 54601-3228
(608) 785-6063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3311-120
WI
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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