Individual
DANIELLE D BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
(309) 829-6808
Mailing address
1504 NORTHBROOK DR APT 10, NORMAL, IL 61761-6063
(309) 706-8217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150011756
IL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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