Individual
KATIE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1845 S DOBSON RD STE 101, MESA, AZ 85202-5662
(480) 226-6053
Mailing address
1845 S DOBSON RD STE 101, MESA, AZ 85202-5662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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