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Individual
STEVEN RICHARD GENTILE
Active
Individual
STEVEN RICHARD GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
924
LA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
924
LA
Other
Enumeration date
04/16/2007
Last updated
11/16/2010
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