JAN C GENTRY

TULSA, OK
NPI1689686164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  1470)
Enumeration Date2006-08-12
Last Update Date2010-10-07
Business Address
Mr. JAN C GENTRY LCSW
9322 E 41ST ST RM 257
TULSA, OK 74145-3721
Phone number: 918-628-2708
Mailing Address
Mr. JAN C GENTRY LCSW
9322 E 41ST RM 257
TULSA, OK 74145-6106
Phone number: 918-628-2708