Individual
MRS. ALLISON DAWN GENTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19420 GOLF VISTA PLZ STE 350, LANSDOWNE, VA 20176-8268
(703) 869-4633
Mailing address
19420 GOLF VISTA PLZ STE 350, LANSDOWNE, VA 20176-8268
(703) 869-4633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005896
VA
Other
Enumeration date
02/01/2007
Last updated
11/04/2020
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