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Data Detail

Name: Stephen T. Black 

Designation: Ph.D.

Issue Date: 11/3/2006

Expiration Date: 6/30/2024

License Number: 46 754

Disciplinary Action: None

Company: VA Palo Alto Hcs

City: Palo Alto

State: CA

Zip: 94304-1290

Work Phone: (650) 493-5000ext 67556  Ext:

Civil Commitment Certification: