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Contact Information

LARRY GENTRY II, LSW/LCSW/LCAC
8320 MADISON AVE
INDIANAPOLIS, IN46227-6066
 Phone: 317-882-5122
 Fax: 317-888-8642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LARRY GENTRY II · (Male)

NPI Number 1588089221
Status Active
Credentials LSW/LCSW/LCAC
Entity Individual
Enumeration date 03/04/2014
Last updated 03/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 34006901A
  • IN License # 87001394A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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