Individual
DAVID S GENTRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1811 VAN PATTON DR, 88 MDOS/SGOHS, WRIGHT PATTERSON AFB, OH 45433-5336
(937) 257-4121
(937) 656-1225
Mailing address
852 ORVILLE WAY, XENIA, OH 45385-5360
(937) 374-1282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I8260
OH
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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