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Individual

MR. DOMINIC WILLIAM GENTILE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. CF-SLP

Contact information

Practice address
803 7TH AVE, HUNTINGTON, WV 25701-2117
(304) 523-1164
Mailing address
910 4TH AVE STE 904, HUNTINGTON, WV 25701-1462
(304) 989-7465

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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