Individual
DAFFANEY BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 221-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 221-7400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
01/27/2020
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