Individual
DARYA QUANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 N PARK DRIVE LN, APPLETON, WI 54911-1603
(920) 749-2390
(920) 749-2399
Mailing address
2809 N PARK DRIVE LN, APPLETON, WI 54911-1603
(920) 749-2390
(920) 749-2399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5221
WI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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