Individual
SHARON GILGENAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S,
Contact information
Practice address
1279 CLOVERDALE DR, CLARKSVILLE, TN 37040-4714
(931) 538-0261
Mailing address
1279 CLOVERDALE DR, CLARKSVILLE, TN 37040-4714
(931) 538-0261
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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