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Individual

MR. MICHAEL ASHER GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
7101 E ORANGE BLOSSOM LN, PARADISE VALLEY, AZ 85253-7044
(832) 746-3847
Mailing address
4325 N 75TH ST, SUITE 102, SCOTTSDALE, AZ 85251-3543
(480) 269-1727

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15637
AZ

Other

Enumeration date
07/25/2016
Last updated
07/25/2016
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