Individual
DANIELLE GRACE FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 EAST BLVD N, MACCLENNY, FL 32063-2214
(904) 568-6246
Mailing address
172 EAST BLVD N, MACCLENNY, FL 32063-2214
(904) 568-6246
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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