Individual
DAYLE EVELYN PERRY SARGEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S GROVE ST APT 5, URBANA, IL 61802-3401
(802) 881-3130
Mailing address
104 S GROVE ST APT 5, URBANA, IL 61802-3401
(802) 881-3130
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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