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1114414414
STEPHANIE GENTRY
CUMMING, GA
NPI
1114414414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA MSW008306)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
STEPHANIE GENTRY
600 PEACHTREE PKWY
CUMMING, GA 30041-7461
Phone number: 912-271-1926
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Mailing Address
STEPHANIE GENTRY
1610 OAKFIELD LN
ROSWELL, GA 30075-3018
Phone number: 912-271-1926
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