Individual
ELIZABETH GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 464-3865
Mailing address
16 SHAMROCK LN, NORWALK, CT 06850-3127
(203) 464-3865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008306
CT
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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