Individual
GENTRY WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3401 BERRYWOOD DR STE 203, COLUMBIA, MO 65201-6515
(573) 777-8455
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 751-5214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024031509
MO
Other
Enumeration date
08/06/2024
Last updated
09/05/2025
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