Individual
MRS. DIONNE L SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
28883 N 131ST DR, PEORIA, AZ 85383-4294
(701) 721-8978
Mailing address
28883 N 131ST DR, PEORIA, AZ 85383-4294
(701) 721-8978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3018
ND
1041C0700X
Clinical Social Worker
3018
ND
1041C0700X
Clinical Social Worker
Primary
LCSW-19395
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130102
—
AZ
01
—
26353
BLUE SHIELD
ND
05
—
74019
—
ND
Enumeration date
12/26/2006
Last updated
06/04/2023
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