Lisa Elaine Gentry

NPI #1386151801 in Martinez, Georgia

Provider Information

NPI Number
1386151801
Entity Type
Individual
Name
Lisa Elaine Gentry
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 5, 2018
Last Updated
Jan 5, 2018

Practice Location

Address
3506 PROFESSIONAL CIR STE B
State
Georgia
ZIP Code
30907-8234
Phone
(706) 210-8855

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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