Individual
SHONTELL DINELLO LEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(480) 735-8685
Mailing address
4828 W ORANGEWOOD AVE UNIT 229, GLENDALE, AZ 85301-8044
(480) 735-8685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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