Individual
DANIELLE STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 W 4TH ST, NEOGA, IL 62447-1037
(217) 663-2680
Mailing address
191 W 4TH ST, NEOGA, IL 62447-1037
(217) 663-2680
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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