MS. Pettie Dionisio

NPI #1174093108 in Redondo Beach, California

Provider Information

NPI Number: 1174093108
Entity Type: Individual
Name: MS. Pettie Dionisio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 3, 2018
Last Updated: Mar 3, 2025

Practice Location

Address: 410 CAMINO REAL
City: Redondo Beach
State: California
ZIP Code: 90277-3815
Phone: (310) 316-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Technician, Other	247200000X

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