Individual
DANIELLE S BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 PETERSON AVE STE 104, PARK RIDGE, IL 60068-5000
(847) 644-9178
Mailing address
5050 S BLACKSTONE AVE APT 2, CHICAGO, IL 60615-3011
(773) 896-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111526
IL
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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