| Doctor Name: | SHARON L GENTRY |
| NPI Number: | 1326338385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LC542 |
| Business Practice Address: | 31 Libby Hill Rd Gray, ME - 040399715 |
| Business Phone Number: | 2076574994 |
| Business Fax Number: | |
| Mailing Address: | 14 Shaker Rd, GRAY |
| State: | ME |
| Postal Code: | 040399701 |
| Phone Number: | 2076574994 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2011 |
| NPI Last Update Date: | 04/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | LC542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |