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NPI Code Detail

MEDICARE: PAMELA GENTRY LCSW

MEDICARE: PAMELA GENTRY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3474TN

General Provider Information

NPI Number : 1669331310
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA GENTRY LCSW
Provider Business Mailing Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number :
Provider Business Practice Location Address
First Line : 1453 HOPE WAY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-3140
Country : US
Telephone Number : 615-893-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ PAMELA GENTRY LCSW” Practice Location

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