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Individual

JOSEPH NEVOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY9999
CA
103TF0200X
Forensic Psychologist
PY60043174
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY60043174
LICENSE
WA
01
PYS9999
LICENSE
CA
Enumeration date
02/10/2014
Last updated
02/10/2014
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