DIANE CAROL ELLIS

GLENDALE, AZ
NPI1982091690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AZ  LCSW-2855)
Enumeration Date2015-04-20
Last Update Date2015-04-20
Business Address
DIANE CAROL ELLIS LCSW
5527 W MARCONI AVE
GLENDALE, AZ 85306-2402
Phone number: 602-329-7938
Mailing Address
DIANE CAROL ELLIS LCSW
5527 W MARCONI AVE
GLENDALE, AZ 85306-2402
Phone number: 602-329-7938
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