Individual
ALPHONSO G GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 599-2830
(215) 599-2883
Mailing address
2514 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 599-2830
(215) 599-2883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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