Individual
MARILYN MARIE GENTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMSW
Contact information
Practice address
1012 14TH ST NW STE 810, WASHINGTON, DC 20005-3403
(202) 654-5155
(202) 654-0898
Mailing address
1012 14TH ST NW STE 810, WASHINGTON, DC 20005-3403
(202) 654-5155
(202) 654-0898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801095727
MI
1041C0700X
Clinical Social Worker
Primary
LC5008180
DC
Other
Enumeration date
12/02/2014
Last updated
07/21/2022
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