Individual
STEPHANIE DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
7630 S COUNTY LINE RD, SUITE 1, BURR RIDGE, IL 60527-6981
(630) 321-3555
(630) 908-5159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.010504
IL
235Z00000X
Speech-Language Pathologist
Primary
22006462A
IN
Other
Enumeration date
11/03/2016
Last updated
06/28/2019
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