Individual
MADISON GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3410 N HIGH SCHOOL RD, SUITE G #285, INDIANAPOLIS, IN 46224
(317) 721-1599
(317) 676-0311
Mailing address
3410 N HIGH SCHOOL RD STE G #285, INDIANAPOLIS, IN 46224-1100
(317) 721-1599
(317) 676-0311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
99112173A
IN
1041C0700X
Clinical Social Worker
Primary
34011286A
IN
Other
Enumeration date
05/24/2019
Last updated
11/18/2025
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