Individual
DR. CAROLYN RAIN GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27941 HARPER AVE, SUITE 102, SAINT CLAIR SHORES, MI 48081-1535
(248) 918-3331
Mailing address
266 UNIVERSITY ST, FERNDALE, MI 48220-2859
(248) 918-3331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012723
MI
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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