Individual
ILANA RAE DINGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3478 BUSKIRK AVE STE 260, PLEASANT HILL, CA 94523-4358
(925) 943-1794
Mailing address
3478 BUSKIRK AVE STE 260, PLEASANT HILL, CA 94523-4358
(925) 943-1794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122787
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/11/2020
Last updated
07/02/2024
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