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Individual

SALLIE WILLETT GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8821 EBENEZER OAKS LN, KNOXVILLE, TN 37922-1469
(423) 863-4932
Mailing address
8821 EBENEZER OAKS LN, KNOXVILLE, TN 37922-1469
(423) 863-4932

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5378
TN

Other

Enumeration date
02/07/2022
Last updated
02/07/2022
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