Individual
DIVINE THERESE INGABIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7193 W LAMAR RD, GLENDALE, AZ 85303-7614
(623) 696-2800
Mailing address
7193 W LAMAR RD, GLENDALE, AZ 85303-7614
(623) 696-2800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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