Individual
STEPHANIE JO DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 DANIELLE RD, LEBANON, IN 46052-0016
(219) 682-5311
Mailing address
1609 DANIELLE RD, LEBANON, IN 46052-0016
(219) 682-5311
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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