Individual
MS. JANE ANN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,MSW
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-8091
(317) 630-8006
Mailing address
131 BLUE RIDGE RD, INDIANAPOLIS, IN 46208-3547
(317) 630-8091
(317) 630-8006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004405A
IN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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