Organization
DANIELLE R ALLEN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE RENEE ALLEN LCSW (OFFICER)
(260) 750-0341
Entity
Organization
Contact information
Practice address
1027 W RUDISILL BLVD STE 210, FORT WAYNE, IN 46807-2160
(260) 750-0341
Mailing address
11511 GREEN HOLLY CV, FORT WAYNE, IN 46845-2018
(260) 750-0341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821528878
NPI
IN
Enumeration date
08/09/2022
Last updated
08/28/2023
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