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Individual

MR. OWEN STEVEN GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1509 16TH ST NW, WASHINGTON, DC 20036-1461
(202) 289-1510
Mailing address
1509 16TH ST NW, WASHINGTON, DC 20036-1461
(202) 289-1510

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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