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Individual
JOAN HELENE RADEKE DANNACHER
Active
Individual
JOAN HELENE RADEKE DANNACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP, RD/LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004948
IL
235Z00000X
Speech-Language Pathologist
146003788
IL
Other
Enumeration date
10/03/2007
Last updated
11/17/2008
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