Individual
MS. PATRICIA G GENTRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW C
Contact information
Practice address
606 SUNNYSIDE AVE, CAROLINE CO MENTAL HEALTH CLINIC, DENTON, MD 21629
(410) 479-3800
(410) 479-0052
Mailing address
2629 CHOPTANK MAIN ST, PRESTON, MD 21655
(410) 673-9074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
07667
MD
104100000X
Social Worker
SW009544L
PA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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