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Individual
JONATHAN SILLS
Active
Individual
JONATHAN SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23051
CA
103TH0004X
Health Psychologist
—
NULL
103TR0400X
Rehabilitation Psychologist
—
NULL
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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