Individual
SHIREKA KING GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
3300 BATTLEGROUND AVE, GREENSBORO, NC 27410-2465
(336) 891-3857
Mailing address
1115 SALTERS ST, BURLINGTON, NC 27215-7422
(704) 369-4425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16913
NC
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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