Individual
MS. BETTINA C GENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 SMOKETREE ST, WINDSOR, CA 95492-8133
(707) 480-3479
Mailing address
524 SMOKETREE ST, WINDSOR, CA 95492-8133
(707) 480-3479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18446
CA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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