Individual
MS. DIONNE D UPAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3640 W OSBORN RD, PHOENIX, AZ 85019-4006
(602) 565-9963
(602) 269-5300
Mailing address
3640 W OSBORN RD, PHOENIX, AZ 85019-4006
(602) 565-9963
(602) 269-5380
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-12782
AZ
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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