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Individual
GENTRY REBECCA HYDE
Active
Individual
GENTRY REBECCA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C018613
NC
1041C0700X
Clinical Social Worker
Primary
P017701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C018613
LICENSE
NC
01
—
P017701
LICENSE
NC
Enumeration date
10/25/2022
Last updated
06/25/2026
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