Search › Arizona › 1041C0700X
Diane Ellis, LCSW
NPI 1982091690 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5527 W Marconi Ave
Glendale, AZ 85306 - Phone
- (602) 329-7938
- Fax
- (602) 307-5021
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona