Individual
MARIANNA L DILEONARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 N 63RD AVE, GLENDALE, AZ 85302-1100
(623) 412-4775
Mailing address
21322 N 69TH AVE, GLENDALE, AZ 85308-8947
(602) 502-7599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11295
AZ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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