Individual
STEPHANIE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PEACHTREE PKWY, CUMMING, GA 30041-7461
(912) 271-1926
Mailing address
1610 OAKFIELD LN, ROSWELL, GA 30075-3018
(912) 271-1926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW008306
GA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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