Individual
CARSON TYLER GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
(785) 240-8358
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
(785) 240-8358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06386
KS
Other
Enumeration date
08/11/2020
Last updated
08/06/2024
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