Individual
MR. OWEN STEVEN GENTRY
Active
Individual
MR. OWEN STEVEN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904008304
VA
1041C0700X
Clinical Social Worker
2013012152
MO
1041C0700X
Clinical Social Worker
Primary
LC50079809
DC
Other
Enumeration date
08/08/2013
Last updated
06/02/2021
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