Individual
TAYLOR NICOLE JULIETTE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322
(785) 856-0330
Mailing address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(785) 856-0322
(785) 856-0330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13709
KS
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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