Individual
MRS. DANIELLE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP/L
Contact information
Practice address
4559 N POTAWATOMIE AVE, CHICAGO, IL 60656-4139
(708) 691-3693
Mailing address
4559 N POTAWATOMIE AVE, CHICAGO, IL 60656-4139
(708) 691-3693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009354
IL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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