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Individual

DANIELLE MARIE WESSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3450 VILLAGE LN, GRANITE CITY, IL 62040-7704
(618) 931-3988
Mailing address
8086 HILL DR, BREESE, IL 62230-2580
(618) 792-6658

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009075
IL

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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