Individual
COURTNEY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 W TECH BLVD, MIAMISBURG, OH 45342-4865
(937) 641-4040
(937) 641-3066
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011827
—
OH
Enumeration date
03/13/2023
Last updated
12/10/2025
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