Individual
LUCILLE IZOLA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
405 N BEAVER ST STE 9, FLAGSTAFF, AZ 86001-4500
(928) 286-7229
Mailing address
405 N BEAVER ST STE 9, FLAGSTAFF, AZ 86001-4500
(928) 286-7229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-19323
AZ
Other
Enumeration date
04/04/2022
Last updated
04/04/2022
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