Individual
DAN L GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
1125 6TH STREET SE, WOODLAND CENTERS, WILMAR, MN 56201-4675
(320) 231-9148
(320) 231-9140
Mailing address
310 N 9TH ST, MONTEVIDEO, MN 56265
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 3911
MN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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